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Individual

DR. ALEX DAVID PENHASIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2233 E GARVEY AVE N STE B, WEST COVINA, CA 91791-1500
(626) 869-2160
Mailing address
115 N CLIFFWOOD AVE, LOS ANGELES, CA 90049-2613
(310) 500-6980

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
106519
CA

Other

Enumeration date
07/12/2021
Last updated
07/12/2021
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