WILMONTE LEE PENNER

SACRAMENTO, CA
NPI1205975059
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: CA  13882)
Enumeration Date2007-02-06
Last Update Date2007-07-08
Business Address
WILMONTE LEE PENNER D.D.S., M.S.
3960 EL CAMINO AVE #6
SACRAMENTO, CA 95821-6534
Phone number: 916-484-1133
Mailing Address
WILMONTE LEE PENNER D.D.S., M.S.
900 SAVERIEN DR
SACRAMENTO, CA 95864-6145
Phone number: 916-481-3213