| NPI | 1689960809 |
|---|---|
| Doing Business As | PLAZA DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS W VIERRA President 408-270-4333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 32626) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 40148) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 55364) | |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2011-06-27 |