| NPI | 1821507427 |
|---|---|
| Doing Business As | PLANET DENTAL |
| Entity Type | Organization |
| Authorized Contact | MATTHEW STAAT Co Owner 909-648-6198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2017-09-26 |