| Peng Dental Corp | |
|
12100 Palmdale Rd Ste B6 Adelanto CA 92301-6709 | |
| (760) 530-9941 | |
| (760) 530-0944 |
| Full Name | Peng Dental Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12100 Palmdale Rd Ste B6, Adelanto, California |
| Authorized Official Name and Position | Wenhong Felix Peng (PRESIDENT) |
| Authorized Official Contact | 7605309941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peng Dental Corp 11301 W Olympic Blvd # 702 Los Angeles CA 90064-1653 Ph: (310) 308-3204 | Peng Dental Corp 12100 Palmdale Rd Ste B6 Adelanto CA 92301-6709 Ph: (760) 530-9941 |
| NPI Number | 1932281680 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 06/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932281680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 46124 (California) | Primary |
Tri-state Community Healthcare Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11328 Bartlett Ave Ste 3, Adelanto, CA 92301 Phone: 760-237-8848 Fax: 760-237-8847 |