Gilbert N/a Pena, RDA
NPI #1467090514 in Rialto, California
Provider Information
- NPI Number
- 1467090514
- Entity Type
- Individual
- Name
- Gilbert N/a Pena, RDA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dental Assistant
- Credential
- RDA
- Enumeration Date
- Dec 18, 2019
- Last Updated
- Dec 20, 2019
Practice Location
- Address
- 1205 RENAISSANCE PKWY STE 240
- City
- Rialto
- State
- California
- ZIP Code
- 92376-2418
- Phone
- (909) 253-0490
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Assistant |
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