Individual
DR. WILLARD PENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
30520 RANCHO CALIFORNIA ROAD,, SUITE A105, TEMECULA, CA 92591-3282
(951) 694-0545
(951) 694-5654
Mailing address
30520 RANCHO CALIFORNIA ROAD,, SUITE A105, TEMECULA, CA 92591-3282
(951) 694-0545
(951) 694-5654
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
59666
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
59666
CA
Other
Enumeration date
09/30/2011
Last updated
09/04/2025
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