Carla D Pena DDS INC
NPI #1497199830 in Tracy, California
Provider Information
- NPI Number
- 1497199830
- Entity Type
- Organization
- Organization Name
- Carla D Pena DDS INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 27, 2013
- Last Updated
- Apr 27, 2013
Practice Location
- Address
- 1401 W 11TH ST STE A
- City
- Tracy
- State
- California
- ZIP Code
- 95376-3702
- Phone
- (209) 830-7477
Authorized Official
- Name
- CARLA D PENA, DDS
- Title
- PRESIDENT
- Phone
- (209) 830-7477
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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