CARLA D PENA DDS INC

TRACY, CA
NPI1497199830
Entity TypeOrganization
Authorized ContactCARLA D PENA
President
209-830-7477
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: CA  47774)
Enumeration Date2013-04-27
Last Update Date2013-04-27
Business Address
CARLA D PENA DDS INC
1401 W 11TH ST STE A
TRACY, CA 95376-3702
Phone number: 209-830-7477
Mailing Address
CARLA D PENA DDS INC
1401 W 11TH ST STE A
TRACY, CA 95376-3702
Phone number: 209-830-7477
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