| NPI | 1619208295 |
|---|---|
| Doing Business As | PLAZA DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | GARY J GREEN President 314-361-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 13434) |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2010-01-21 |