| Peng Dental Corp | |
|
1700 W Gardena Blvd Gardena CA 90247-4727 | |
| (310) 323-0689 | |
| Not Available |
| Full Name | Peng Dental Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1700 W Gardena Blvd, Gardena, California |
| Authorized Official Name and Position | Wenhong Felix Peng (PRESIDENT) |
| Authorized Official Contact | 3103083204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peng Dental Corp 1700 W Gardena Blvd Gardena CA 90247-4727 Ph: (310) 323-0689 | Peng Dental Corp 1700 W Gardena Blvd Gardena CA 90247-4727 Ph: (310) 323-0689 |
| NPI Number | 1689802324 |
|---|---|
| Provider Enumeration Date | 07/01/2009 |
| Last Update Date | 07/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689802324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 46124 (California) | Primary |
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