Plaza Dental PA

NPI #1316976517 in Burnsville, Minnesota

Provider Information

NPI Number
1316976517
Entity Type
Organization
Organization Name
Plaza Dental PA
Primary Specialty
Dentist
Enumeration Date
Jul 1, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1601 E HWY 13
Address 2
SUITE 105
ZIP Code
55337
Phone
(952) 890-5450

Authorized Official

Name
DR. JOAN A SHEPPARD
Title
OWNER OFFICER
Phone
(952) 890-5450

Specialties & Taxonomy Codes

Specialty
Dentist

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