Teodoro David Pena

NPI #1104332741 in Chula Vista, California

Provider Information

NPI Number: 1104332741
Entity Type: Individual
Name: Teodoro David Pena
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Dec 19, 2017
Last Updated: Jun 4, 2018

Practice Location

Address: 510 BROADWAY STE 4-5
City: Chula Vista
State: California
ZIP Code: 91910
Phone: (619) 476-9400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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