Organization
PLANET SMILE DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY D HEITZLER DDS (DIRECTOR)
(914) 668-7500
Entity
Organization
Contact information
Practice address
10 FISKE PL, SUITE 501, MOUNT VERNON, NY 10550-3205
(914) 668-7500
(914) 668-7007
Mailing address
10 FISKE PLACE, SUITE 501, MOUNT VERNON, NY 10550
(914) 668-7500
(914) 668-7007
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
044619
NY
Other
Enumeration date
04/10/2009
Last updated
04/10/2009
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