| NPI | 1528628716 |
|---|---|
| Doing Business As | PLAZA DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ASHLY SUNSHINE Vendor Relation Manager 314-413-2803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2023-05-09 |