Provider Demographics
NPI:1962520452
Name:PLATON, ANA RALUCA (DDS)
Entity type:Individual
Prefix:DR
First Name:ANA
Middle Name:RALUCA
Last Name:PLATON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:242 E FERN AVE.
Mailing Address - Street 2:APT. 102
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-6059
Mailing Address - Country:US
Mailing Address - Phone:909-798-3025
Mailing Address - Fax:
Practice Address - Street 1:16455 MAIN ST
Practice Address - Street 2:STE. 17
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-3554
Practice Address - Country:US
Practice Address - Phone:760-244-6077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50699122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist