NPI | 1740319094 |
---|---|
Doing Business As | DE LA PENA DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | FERNANDO DE LA PENA President 213-389-6211 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43934) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2008-09-10 |