| Plaza Dental Group | |
|
23767d Sunnymead Blvd Moreno Valley CA 92553 | |
| (951) 924-2433 | |
| (951) 924-2433 |
| Full Name | Plaza Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 23767d Sunnymead Blvd, Moreno Valley, California |
| Authorized Official Name and Position | Don Philip Schubothe (PRESIDENT) |
| Authorized Official Contact | 9519242433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plaza Dental Group 23767d Sunnymead Blvd Moreno Valley CA 92553 Ph: (951) 924-2433 | Plaza Dental Group 23767d Sunnymead Blvd Moreno Valley CA 92553 Ph: (951) 924-2433 |
| NPI Number | 1114140506 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 06/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114140506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 35994 (California) | Primary |
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