Plaza Dental Group LLC

NPI #1548445406 in Columbia, Missouri

Provider Information

NPI Number: 1548445406
Entity Type: Organization
Organization Name: Plaza Dental Group LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 9, 2008
Last Updated: Jun 17, 2008

Practice Location

Address: 303 N KEENE ST
Address 2: STE 208
City: Columbia
State: Missouri
ZIP Code: 65201-6623
Phone: (573) 817-2222

Authorized Official

Name: MRS. CINDY M SOOTER
Title: OFFICE MANAGER
Phone: (573) 817-2222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X

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