Organization
PLAZA DENTAL IMPLANT & SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER PFITZINGER DDS (OWNER)
(573) 817-2220
Entity
Organization
Contact information
Practice address
303 N KEENE ST, SUITE 209, COLUMBIA, MO 65201-7193
(573) 817-2220
(573) 817-2808
Mailing address
303 N KEENE ST, SUITE 209, COLUMBIA, MO 65201-7193
(573) 817-2220
(573) 817-2808
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
010435
MO
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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