| NPI | 1942056726 |
|---|---|
| Doing Business As | LIBERTY PLAZA DENTAL |
| Doing Business As | LIBERTY PLAZA DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | ALVIN TAN President 408-945-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-05-08 |