| Plaza Dental | |
|
620 19th St W Ste 200 Dickinson ND 58601-2972 | |
| (701) 502-0060 | |
| Not Available |
| Full Name | Plaza Dental |
|---|---|
| Speciality | Dentist |
| Location | 620 19th St W Ste 200, Dickinson, North Dakota |
| Authorized Official Name and Position | Daniel Brian Van Buskirk (OWNER) |
| Authorized Official Contact | 7017518081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plaza Dental 4401 Coleman St Ste 104 Bismarck ND 58503-1371 Ph: (701) 751-8081 | Plaza Dental 620 19th St W Ste 200 Dickinson ND 58601-2972 Ph: (701) 502-0060 |
| NPI Number | 1558034777 |
|---|---|
| Provider Enumeration Date | 07/26/2021 |
| Last Update Date | 07/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558034777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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