Individual
TERRI DE LA PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
10011 SHAGGYBARK DR, SANTEE, CA 92071-1136
(619) 316-9319
(866) 316-9391
Mailing address
10011 SHAGGYBARK DR, SANTEE, CA 92071-1136
(619) 316-9319
(866) 316-9391
Taxonomy
Speciality
Code
Description
License number
State
125K00000X
Advanced Practice Dental Therapist
Primary
575
CA
Other
Enumeration date
07/06/2015
Last updated
07/06/2015
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