Organization
PENG DENTAL CORP
Active
Other names
Adelanto Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WENHONG FELIX PENG DDS (PRESIDENT)
(760) 530-9941
Entity
Organization
Contact information
Practice address
12100 PALMDALE RD STE B6, ADELANTO, CA 92301-6709
(760) 530-9941
(760) 530-0944
Mailing address
11301 W OLYMPIC BLVD # 702, LOS ANGELES, CA 90064-1653
(310) 308-3204
(760) 530-0944
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
46124
CA
Other
Enumeration date
10/20/2006
Last updated
06/16/2008
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