| Plaza Dental Implant & Surgical Center, Llc | |
|
303 N Keene St Suite 209 Columbia MO 65201-7193 | |
| (573) 817-2220 | |
| (573) 817-2808 |
| Full Name | Plaza Dental Implant & Surgical Center, Llc |
|---|---|
| Speciality | Dentist |
| Location | 303 N Keene St, Columbia, Missouri |
| Authorized Official Name and Position | Walter Pfitzinger (OWNER) |
| Authorized Official Contact | 5738172220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plaza Dental Implant & Surgical Center, Llc 303 N Keene St Suite 209 Columbia MO 65201-7193 Ph: (573) 817-2220 | Plaza Dental Implant & Surgical Center, Llc 303 N Keene St Suite 209 Columbia MO 65201-7193 Ph: (573) 817-2220 |
| NPI Number | 1063760460 |
|---|---|
| Provider Enumeration Date | 08/16/2012 |
| Last Update Date | 08/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063760460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 010435 (Missouri) | Primary |
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