TERRI DE LA PENA

SANTEE, CA
NPI1851774186
Former NameTERRI O'CONNOR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy125K00000X Advanced Practice Dental Therapist
(Licence: CA  575)
Enumeration Date2015-07-06
Last Update Date2015-07-06
Business Address
TERRI DE LA PENA RDHAP
10011 SHAGGYBARK DR
SANTEE, CA 92071-1136
Phone number: 619-316-9319
Mailing Address
TERRI DE LA PENA RDHAP
10011 SHAGGYBARK DR
SANTEE, CA 92071-1136
Phone number: 619-316-9319