MARTHA DE LA PENA

SAN RAFAEL, CA
NPI1396165981
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  63105)
Enumeration Date2014-04-22
Last Update Date2015-06-01
Business Address
-- MARTHA DE LA PENA DMD MPH
411 4TH ST
SAN RAFAEL, CA 94901-5716
Phone number: 415-473-5456
Mailing Address
-- MARTHA DE LA PENA DMD MPH
54 SCENIC AVE
SAN RAFAEL, CA 94901-1655
Phone number: 415-533-2731
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