| Eric M. Pena, D.d.s. | |
|
8415 Reseda Blvd Ste 10 Northridge CA 91324-4681 | |
| (818) 727-7820 | |
| Not Available |
| Full Name | Eric M. Pena, D.d.s. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8415 Reseda Blvd Ste 10, Northridge, California |
| Authorized Official Name and Position | Eric M. Pena (DENTIST) |
| Authorized Official Contact | 8187277820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric M. Pena, D.d.s. 8415 Reseda Blvd Ste 10 Northridge CA 91324-4681 Ph: (818) 727-7820 | Eric M. Pena, D.d.s. 8415 Reseda Blvd Ste 10 Northridge CA 91324-4681 Ph: (818) 727-7820 |
| NPI Number | 1518140516 |
|---|---|
| Provider Enumeration Date | 12/12/2007 |
| Last Update Date | 12/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518140516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 47151 (California) | Primary |
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