Plymouth Plaza Dental

NPI #1609095140 in Plymouth, Minnesota

Provider Information

NPI Number: 1609095140
Entity Type: Organization
Organization Name: Plymouth Plaza Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 24, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1495 COUNTY ROAD 101 N
Address 2: SUITE2
City: Plymouth
State: Minnesota
ZIP Code: 55447-3078
Phone: (763) 476-6774

Authorized Official

Name: JANET ANN NIELSEN
Title: OFFICE MANAGER
Phone: (763) 476-6774

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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