| Plaza Dental Care | |
|
8575 Knott Ave A Buena Park CA 90620-3850 | |
| (714) 761-8575 | |
| (714) 761-8030 |
| Full Name | Plaza Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8575 Knott Ave, Buena Park, California |
| Authorized Official Name and Position | Edward S Suh (CEO) |
| Authorized Official Contact | 7147618575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plaza Dental Care 8575 Knott Ave A Buena Park CA 90620-3850 Ph: (714) 761-8575 | Plaza Dental Care 8575 Knott Ave A Buena Park CA 90620-3850 Ph: (714) 761-8575 |
| NPI Number | 1164674222 |
|---|---|
| Provider Enumeration Date | 10/21/2008 |
| Last Update Date | 10/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164674222 | NPI | - | NPPES |
| G9390601 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 52115 (California) | Primary |
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