Geoffrey Glen Pena, DMD
NPI #1962014282 in Tracy, California
Provider Information
- NPI Number
- 1962014282
- Entity Type
- Individual
- Name
- Geoffrey Glen Pena, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Aug 18, 2020
- Last Updated
- Aug 18, 2020
Practice Location
- Address
- 1401 W 11TH ST STE A
- City
- Tracy
- State
- California
- ZIP Code
- 95376-3702
- Phone
- (209) 830-7477
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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