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Organization
PENN SOH, DDS, CORP
Active
Organization
PENN SOH, DDS, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PENN SOH DDS (DENTIST/PRESIDENT/OWNER)
(818) 505-0106
Entity
Organization
Contact information
Practice address
5300 LANKERSHIM BLVD STE 105, NORTH HOLLYWOOD, CA 91601-3163
(818) 505-0106
(818) 505-1063
Mailing address
5300 LANKERSHIM BLVD STE 105, NORTH HOLLYWOOD, CA 91601-3163
(818) 505-0106
(818) 505-1063
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
57033
CA
Other
Enumeration date
02/04/2011
Last updated
02/04/2011
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