| NPI | 1447653746 |
|---|---|
| Doing Business As | PENASQUITOS DENTAL |
| Entity Type | Organization |
| Authorized Contact | FRANK XUONG MAC Doctor 240-383-7623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 35429) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: CA 41808) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 45585) | |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2021-12-28 |