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 |