Individual
WILMONTE LEE PENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
3960 EL CAMINO AVE, #6, SACRAMENTO, CA 95821-6534
(916) 484-1133
(916) 484-1134
Mailing address
900 SAVERIEN DR, SACRAMENTO, CA 95864-6145
(916) 481-3213
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13882
CA
Other
Enumeration date
02/06/2007
Last updated
04/12/2026
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