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Organization
PINKY D. PENALOSA, DMD INC.
Active
Organization
PINKY D. PENALOSA, DMD INC.
Active
Other names
Oasis Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PINKY DEL FIERRO PENALOSA DDS (PRESIDENT)
(909) 941-2288
Entity
Organization
Contact information
Practice address
9203 ARCHIBALD AVE, RANCHO CUCAMONGA, CA 91730-5207
(909) 941-2288
(909) 941-6688
Mailing address
9203 ARCHIBALD AVE, RANCHO CUCAMONGA, CA 91730-5207
(909) 941-2288
(909) 941-6688
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS52769
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275654741
NPPES
CA
Enumeration date
05/10/2018
Last updated
05/10/2018
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