# EDWARD J PENZA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578009411
- **Authorized official:** EDWARD PENZA (OWNER)
- **Authorized official phone:** (561) 471-1722

## Contact information

- **Practice address:** 1920 PALM BEACH LAKES BLVD, STE 108, WEST PALM BEACH, FL 33409-3512
- **Practice address phone:** (561) 471-1722
- **Mailing address:** 1920 PALM BEACH LAKES BLVD, STE 108, WEST PALM BEACH, FL 33409-3512
- **Mailing address phone:** (561) 471-1722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 01/17/2017
- **Last updated:** 02/02/2017