| NPI | 1558034777 |
|---|---|
| Doing Business As | PLAZA DENTAL |
| Entity Type | Organization |
| Authorized Contact | DANIEL BRIAN VAN BUSKIRK Owner 701-751-8081 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2021-07-26 |