Organization
WILLIAM A. PENA DMD, PA
Active
Other names
American Pediatric Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ANTONIO PENA DMD, MS, MBA (OWNER/PRESIDENT)
(415) 216-6649
Entity
Organization
Contact information
Practice address
10021 PINES BLVD, SUITE 100, PEMBROKE PINES, FL 33024-6191
(954) 417-1337
(954) 417-1338
Mailing address
10021 PINES BLVD, SUITE 100, PEMBROKE PINES, FL 33024-6191
(954) 417-1337
(954) 417-1338
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN17608
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000641100
—
FL
Enumeration date
06/27/2011
Last updated
06/27/2011
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