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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