Organization
R A PENMAN II, DDS A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ALLAN PENMAN II DDS (PRESIDENT)
(760) 529-4649
Entity
Organization
Contact information
Practice address
2123 S EL CAMINO REAL, OCEANSIDE, CA 92054-6271
(760) 529-4649
(760) 529-9645
Mailing address
2123 S EL CAMINO REAL, OCEANSIDE, CA 92054-6271
(760) 529-4649
(760) 529-9645
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
44056
CA
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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