Organization
PLAZA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY FRYE (OFFICE MANAGER)
(623) 979-7477
Entity
Organization
Contact information
Practice address
9145 W THUNDERBIRD RD STE 105, PEORIA, AZ 85381-4820
(623) 979-7477
Mailing address
9145 W THUNDERBIRD RD STE 105, PEORIA, AZ 85381-4820
(623) 979-7477
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3279
CA
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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