Individual
DR. EDITH PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3715 SW MILITARY DR, SAN ANTONIO, TX 78211-3514
(210) 532-1166
Mailing address
3715 SW MILITARY DR, SAN ANTONIO, TX 78211-3514
(210) 532-1166
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23968
TX
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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