Organization
ESTELA PENA, DDS, LLC
Active
Other names
Ryan Park Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESTELA PENA DDS (OWNER)
(703) 729-8277
Entity
Organization
Contact information
Practice address
43480 YUKON DR, SUITE 204, ASHBURN, VA 20147-6988
(703) 729-8277
(703) 729-8774
Mailing address
43480 YUKON DR, SUITE 204, ASHBURN, VA 20147-6988
(703) 729-8277
(703) 729-8774
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401410933
VA
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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