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Organization
PENROD DENTAL CARE, INC.
Active
Organization
PENROD DENTAL CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DANI LIMOUSIN (FINANCIAL MANAGER)
(949) 459-0399
Entity
Organization
Contact information
Practice address
29819 SANTA MARGARITA PKWY, SUITE 200, RANCHO SANTA MARGARITA, CA 92688-3620
(949) 459-0399
(949) 713-3665
Mailing address
29819 SANTA MARGARITA PKWY, SUITE 200, RANCHO SANTA MARGARITA, CA 92688-3620
(949) 459-0399
(949) 713-3665
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
37479
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508089996
NPI
CA
Enumeration date
01/07/2008
Last updated
01/07/2008
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