| Pg Plaze Dental | |
|
3500 E West Hwy The Mall At Prince George Hyattsville MD 20782-1916 | |
| (301) 933-9300 | |
| Not Available |
| Full Name | Pg Plaze Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3500 E West Hwy, Hyattsville, Maryland |
| Authorized Official Name and Position | Rostislav Krasnov (OWNER) |
| Authorized Official Contact | 3019339300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pg Plaze Dental 3500 E West Hwy The Mall At Prince George Hyattsville MD 20782-1916 Ph: (301) 933-9300 | Pg Plaze Dental 3500 E West Hwy The Mall At Prince George Hyattsville MD 20782-1916 Ph: (301) 933-9300 |
| NPI Number | 1164837654 |
|---|---|
| Provider Enumeration Date | 06/24/2014 |
| Last Update Date | 06/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164837654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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