| R A Penman Ii, Dds A Professional Dental Corporation | |
|
2123 S El Camino Real Oceanside CA 92054-6271 | |
| (760) 529-4649 | |
| (760) 529-9645 |
| Full Name | R A Penman Ii, Dds A Professional Dental Corporation |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2123 S El Camino Real, Oceanside, California |
| Authorized Official Name and Position | Richard Allan Penman (PRESIDENT) |
| Authorized Official Contact | 7605294649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R A Penman Ii, Dds A Professional Dental Corporation 2123 S El Camino Real Oceanside CA 92054-6271 Ph: (760) 529-4649 | R A Penman Ii, Dds A Professional Dental Corporation 2123 S El Camino Real Oceanside CA 92054-6271 Ph: (760) 529-4649 |
| NPI Number | 1710492954 |
|---|---|
| Provider Enumeration Date | 12/11/2017 |
| Last Update Date | 12/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710492954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 44056 (California) | Primary |
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