NPI | 1578824835 |
---|---|
Doing Business As | PLANET DENATL AND ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | MATTHEW STAAT President 909-648-6198 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2012-06-04 |
Last Update Date | 2012-07-17 |