| Dental Planet | |
|
800 San Fernando Rd San Fernando CA 91340-3374 | |
| (818) 183-8660 | |
| Not Available |
| Full Name | Dental Planet |
|---|---|
| Speciality | Dentist |
| Location | 800 San Fernando Rd, San Fernando, California |
| Authorized Official Name and Position | Larry Hamer (PRESIDENT) |
| Authorized Official Contact | 8188386600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Planet 777truman St., Suite 107 San Fernando CA 91340-3374 Ph: (818) 183-8660 | Dental Planet 800 San Fernando Rd San Fernando CA 91340-3374 Ph: (818) 183-8660 |
| NPI Number | 1730305111 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 09/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730305111 | NPI | - | NPPES |
| G91808-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 43604 (California) | Primary |
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