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1255517009
YAWEN PENG
LOS ANGELES, CA
NPI
1255517009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 54621)
Additional Taxonomies
122300000X Dentist
(Licence: MA 21710)
Enumeration Date
2008-01-10
Last Update Date
2010-06-11
Business Address
-- YAWEN PENG
4606 HOLLYWOOD BLVD STE B
LOS ANGELES, CA 90027
Phone number: 323-663-3850
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Mailing Address
-- YAWEN PENG
4606 HOLLYWOOD BLVD STE B
LOS ANGELES, CA 90027-5462
Phone number: 323-663-3850
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