Organization
PENG DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WENHONG FELIX PENG DDS (PRESIDENT)
(310) 308-3204
Entity
Organization
Contact information
Practice address
1700 W GARDENA BLVD, GARDENA, CA 90247-4727
(310) 323-0689
Mailing address
1700 W GARDENA BLVD, GARDENA, CA 90247-4727
(310) 323-0689
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
46124
CA
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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