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Organization

MARTA A. PENMAN, DDS, A PROFESSIONAL DENTAL CORPORATION

Active
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Organization

MARTA A. PENMAN, DDS, A PROFESSIONAL DENTAL CORPORATION

Active
Other names
Carlsbad Pediatric Dental Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARTA ANNE PENMAN DDS (DENTIST)
(760) 845-8858
Entity
Organization

Contact information

Practice address
1207 CARLSBAD VILLAGE DR, SUITE A, CARLSBAD, CA 92008-1957
(760) 434-7374
(760) 434-1605
Mailing address
1207 CARLSBAD VILLAGE DR, SUITE A, CARLSBAD, CA 92008-1957
(760) 434-7374
(760) 434-1605

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
46363
CA
1223P0221X
Pediatric Dentistry
44056
CA

Other

Enumeration date
10/08/2013
Last updated
10/08/2013
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