# OSCAR M PENA

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

## Provider details

- **NPI number:** 1851548770
- **Authorized official:** OSCAR M PENA DDS, MDS, PC (OWNER)
- **Authorized official phone:** (520) 299-6662

## Contact information

- **Practice address:** 1605 E RIVER RD, SUITE 151, TUCSON, AZ 85718-5971
- **Practice address phone:** (520) 299-6662
- **Practice address fax:** (520) 299-5558
- **Mailing address:** 1605 E RIVER RD, SUITE 151, TUCSON, AZ 85718-5971
- **Mailing address phone:** (520) 299-6662
- **Mailing address fax:** (520) 299-5558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 5083 | AZ | Yes |

## Other

- **Enumeration date:** 08/21/2008
- **Last updated:** 08/21/2008