Martha De La Pena, DMD MPH
NPI #1396165981 in San Rafael, California
Provider Information
- NPI Number
- 1396165981
- Entity Type
- Individual
- Name
- Martha De La Pena, DMD MPH
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DMD MPH
- Enumeration Date
- Apr 22, 2014
- Last Updated
- Jun 1, 2015
Practice Location
- Address
- 411 4TH ST
- City
- San Rafael
- State
- California
- ZIP Code
- 94901-5716
- Phone
- (415) 473-5456
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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