# PLANET DENTAL INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366775389
- **Authorized official:** ANNA NGUYEN (OFFICE MANAGER)
- **Authorized official phone:** (702) 457-5335

## Contact information

- **Practice address:** 4570 N RANCHO DR, STE 2, LAS VEGAS, NV 89130-3430
- **Practice address phone:** (702) 656-9497
- **Practice address fax:** (702) 656-9138
- **Mailing address:** 2755 S NELLIS BLVD, STE 12, LAS VEGAS, NV 89121-7549
- **Mailing address phone:** (702) 457-5335
- **Mailing address fax:** (702) 457-3848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4603 | NV | Yes |

## Other

- **Enumeration date:** 09/09/2009
- **Last updated:** 01/16/2013