TEODORO DAVID PENA

CHULA VISTA, CA
NPI1104332741
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  64509)
Enumeration Date2017-12-19
Last Update Date2018-06-04
Business Address
TEODORO DAVID PENA
510 BROADWAY STE 4-5
CHULA VISTA, CA 91910
Phone number: 619-476-9400
Mailing Address
TEODORO DAVID PENA
510 BROADWAY STE 4-5
CHULA VISTA, CA 91910-5306
Phone number: 619-476-9400