Individual
DR. ALEJANDRO PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1364 N GAREY AVE, POMONA, CA 91767
(909) 622-0984
(909) 622-3113
Mailing address
1364 N GAREY AVE, POMONA, CA 91767
(909) 622-0984
(909) 622-3113
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30976
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9702993
UNITED CONCORDIA
CA
01
—
B309760L
MEDICAL
CA
Enumeration date
12/12/2006
Last updated
07/08/2007
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