| Edward J Penza | |
|
1920 Palm Beach Lakes Blvd Ste 108 West Palm Beach FL 33409-3512 | |
| (561) 471-1722 | |
| Not Available |
| Full Name | Edward J Penza |
|---|---|
| Speciality | Dentist |
| Location | 1920 Palm Beach Lakes Blvd, West Palm Beach, Florida |
| Authorized Official Name and Position | Edward Penza (OWNER) |
| Authorized Official Contact | 5614711722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward J Penza 1920 Palm Beach Lakes Blvd Ste 108 West Palm Beach FL 33409-3512 Ph: (561) 471-1722 | Edward J Penza 1920 Palm Beach Lakes Blvd Ste 108 West Palm Beach FL 33409-3512 Ph: (561) 471-1722 |
| NPI Number | 1578009411 |
|---|---|
| Provider Enumeration Date | 01/17/2017 |
| Last Update Date | 02/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578009411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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