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 |