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Organization
ERIC M. PENA, D.D.S.
Active
Organization
ERIC M. PENA, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC M. PENA D.D.S. (DENTIST)
(818) 727-7820
Entity
Organization
Contact information
Practice address
8415 RESEDA BLVD STE 10, NORTHRIDGE, CA 91324-4681
(818) 727-7820
Mailing address
8415 RESEDA BLVD STE 10, NORTHRIDGE, CA 91324-4681
(818) 727-7820
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47151
CA
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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