NPI | 1881758241 |
---|---|
Doing Business As | PLAZA DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | JONATHAN JACKSON Owner Dds 951-461-4306 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2006-12-20 |
Last Update Date | 2022-05-11 |