Individual
ERIN E. PENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
06012
NY
122300000X
Dentist
30.24864
OH
1223G0001X
General Practice Dentistry
06012
NY
1223G0001X
General Practice Dentistry
2901022056
MI
Other
Enumeration date
08/13/2016
Last updated
10/10/2019
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