NPI 1063760460

Plaza Dental Implant & Surgical Center, LLC

Organisation Dentist Columbia, MO

Practice location

Address: 303 N Keene St Suite 209, Columbia, MO 65201-7193
Phone: (573) 817-2220
Fax: (573) 817-2808

Authorised official

Name: Walter Pfitzinger
Title: Owner
Phone: (573) 817-2220

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 010435 (MO)

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Registry record

NPI: 1063760460
Entity type: Organization
NPI issued: 16 Aug 2012
Record last updated: 16 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.