| Providers Richard Penman Iii Eddie Chong | |
|
31821 Hwy 79 S #c 7 Temecula CA 92592 | |
| (951) 302-3535 | |
| (951) 302-3539 |
| Full Name | Providers Richard Penman Iii Eddie Chong |
|---|---|
| Speciality | Dentist |
| Location | 31821 Hwy 79 S, Temecula, California |
| Authorized Official Name and Position | Tracy Jo Anderson (MANAGER) |
| Authorized Official Contact | 9513023535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providers Richard Penman Iii Eddie Chong 31821 Hwy 79 S #c 7 Temecula CA 92592 Ph: (951) 302-3535 | Providers Richard Penman Iii Eddie Chong 31821 Hwy 79 S #c 7 Temecula CA 92592 Ph: (951) 302-3535 |
| NPI Number | 1720196538 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720196538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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