ROBERT L. PENA DMD DENTAL CORP.
Managed Care Organizations at Lyons Ave, Santa Clarita, CA

License number
California 37002
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: DR. ROBERT LIMCAOCO PENA DDS
Title: PRESIDENT
Phone: (661) 222-7171
Address
Address
22930 Lyons Ave, Santa Clarita, CA 91321
National Provider ID: 1720472764
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ROBERT L. PENA, D.M.D., DENTAL CORPORATION

Santa Clarita, CA

Registration:
Mar 29, 1999
Addresses:
22930 Lyons Ave, Newhall, CA 91321 (Physical)
22930 Lyons Ave Oaks Plz Shopping Ctr, Santa Clarita, CA 91321
State ID:
C2135448
Business type:
Articles of Incorporation
President:
Robert L. Pena (President)
Agent:
Edna V Wenning,Los Angeles, CA 90042 (Physical)

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