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1205975059
WILMONTE LEE PENNER
SACRAMENTO, CA
NPI
1205975059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: CA 13882)
Enumeration Date
2007-02-06
Last Update Date
2007-07-08
Business Address
WILMONTE LEE PENNER D.D.S., M.S.
3960 EL CAMINO AVE #6
SACRAMENTO, CA 95821-6534
Phone number: 916-484-1133
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Mailing Address
WILMONTE LEE PENNER D.D.S., M.S.
900 SAVERIEN DR
SACRAMENTO, CA 95864-6145
Phone number: 916-481-3213
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