| Plaza Dental Group | |
|
17515 Colima Rd Suite C City Of Industry CA 91748-1859 | |
| (626) 965-0971 | |
| (626) 965-5785 |
| Full Name | Plaza Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17515 Colima Rd, City Of Industry, California |
| Authorized Official Name and Position | Young H Lee (PRESIDENT) |
| Authorized Official Contact | 6269650971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plaza Dental Group 17515 Colima Rd Suite C City Of Industry CA 91748-1859 Ph: (626) 965-0971 | Plaza Dental Group 17515 Colima Rd Suite C City Of Industry CA 91748-1859 Ph: (626) 965-0971 |
| NPI Number | 1548567274 |
|---|---|
| Provider Enumeration Date | 02/15/2011 |
| Last Update Date | 01/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548567274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 24822 (California) | Primary |
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