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1104332741
TEODORO DAVID PENA
CHULA VISTA, CA
NPI
1104332741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 64509)
Enumeration Date
2017-12-19
Last Update Date
2018-06-04
Business Address
TEODORO DAVID PENA
510 BROADWAY STE 4-5
CHULA VISTA, CA 91910
Phone number: 619-476-9400
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Mailing Address
TEODORO DAVID PENA
510 BROADWAY STE 4-5
CHULA VISTA, CA 91910-5306
Phone number: 619-476-9400
Copy
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