MR. Randy Raymundo Penoliar, RDA

NPI #1053923540 in North Hills, California

Provider Information

NPI Number: 1053923540
Entity Type: Individual
Name: MR. Randy Raymundo Penoliar, RDA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Credential: RDA
Enumeration Date: Aug 18, 2020
Last Updated: Aug 18, 2020

Practice Location

Address: 15350 NORDHOFF ST UNIT A15350
City: North Hills
State: California
ZIP Code: 91343-2234
Phone: (818) 724-8416

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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