| NPI | 1538889027 |
|---|---|
| Doing Business As | PLAZA DENTAL PARKER |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER GREEN Member 708-917-8019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2022-09-12 |