Organization
BRITTNEY PENAMON RDHAP CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTNEY PENAMON (OWNER)
(323) 998-3001
Entity
Organization
Contact information
Practice address
3800 STOCKER ST, #23, VIEW PARK, CA 90008-5122
(323) 998-3001
Mailing address
4859 W SLAUSON AVE, STE 134, LOS ANGELES, CA 90056-1290
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
589
CA
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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