Plaza Dental Implant & Surgical Center, LLC

NPI #1063760460 in Columbia, Missouri

Provider Information

NPI Number: 1063760460
Entity Type: Organization
Organization Name: Plaza Dental Implant & Surgical Center, LLC
Primary Specialty: Dentist
Enumeration Date: Aug 16, 2012
Last Updated: Aug 16, 2012

Practice Location

Address: 303 N KEENE ST
Address 2: SUITE 209
City: Columbia
State: Missouri
ZIP Code: 65201-7193
Phone: (573) 817-2220

Authorized Official

Name: WALTER PFITZINGER, DDS
Title: OWNER
Phone: (573) 817-2220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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