Individual
MR. RANDY RAYMUNDO PENOLIAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDA
Contact information
Practice address
15350 NORDHOFF ST UNIT A15350, NORTH HILLS, CA 91343-2234
(818) 724-8416
Mailing address
15350 NORDHOFF ST UNIT A15350, NORTH HILLS, CA 91343-2234
(818) 724-8416
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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