| Penrod Dental Care, Inc. | |
|
29819 Santa Margarita Pkwy Suite 200 Rancho Santa Margarita CA 92688-3620 | |
| (949) 459-0399 | |
| (949) 713-3665 |
| Full Name | Penrod Dental Care, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 29819 Santa Margarita Pkwy, Rancho Santa Margarita, California |
| Authorized Official Name and Position | Dani Limousin (FINANCIAL MANAGER) |
| Authorized Official Contact | 9494590399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penrod Dental Care, Inc. 29819 Santa Margarita Pkwy Suite 200 Rancho Santa Margarita CA 92688-3620 Ph: (949) 459-0399 | Penrod Dental Care, Inc. 29819 Santa Margarita Pkwy Suite 200 Rancho Santa Margarita CA 92688-3620 Ph: (949) 459-0399 |
| NPI Number | 1730364944 |
|---|---|
| Provider Enumeration Date | 01/07/2008 |
| Last Update Date | 01/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730364944 | NPI | - | NPPES |
| 1508089996 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 37479 (California) | Primary |
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