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Organization
YAWEN PENG DMD INCORPORATED
Active
Organization
YAWEN PENG DMD INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAWEN PENG (CEO)
(323) 663-3850
Entity
Organization
Contact information
Practice address
4606 HOLLYWOOD BLVD STE B, LOS ANGELES, CA 90027-5462
(323) 663-3850
Mailing address
4606 HOLLYWOOD BLVD STE B, LOS ANGELES, CA 90027-5462
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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