Organization
PLANET SMILE PARTNERS MAIN STREET DENTISTRY PLLC
Active
Other names
Ortho on Main
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY HEITZLER DDS (CEO)
(914) 864-0464
Entity
Organization
Contact information
Practice address
115 MAIN ST STE 200, TUCKAHOE, NY 10707-2948
(914) 864-0464
Mailing address
111 E MAIN ST, MOUNT KISCO, NY 10549-2340
(914) 864-0464
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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