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Organization
PLANET ORAL HEALTHCARE
Active
Organization
PLANET ORAL HEALTHCARE
Active
Other names
Planet Denatl and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW STAAT DDS (PRESIDENT)
(909) 648-6198
Entity
Organization
Contact information
Practice address
1400 GUADALUPE ST, SUITE A, LAREDO, TX 78040-5343
(909) 648-6198
Mailing address
1400 GUADALUPE ST, SUITE A, LAREDO, TX 78040-5315
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/04/2012
Last updated
07/17/2012
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