| 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 |