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
- City
- Burnsville
- State
- Minnesota
- 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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