| Marta A. Penman, Dds, A Professional Dental Corporation | |
|
1207 Carlsbad Village Dr Suite A Carlsbad CA 92008-1957 | |
| (760) 434-7374 | |
| (760) 434-1605 |
| Full Name | Marta A. Penman, Dds, A Professional Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 1207 Carlsbad Village Dr, Carlsbad, California |
| Authorized Official Name and Position | Marta Anne Penman (DENTIST) |
| Authorized Official Contact | 7608458858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marta A. Penman, Dds, A Professional Dental Corporation 1207 Carlsbad Village Dr Suite A Carlsbad CA 92008-1957 Ph: (760) 434-7374 | Marta A. Penman, Dds, A Professional Dental Corporation 1207 Carlsbad Village Dr Suite A Carlsbad CA 92008-1957 Ph: (760) 434-7374 |
| NPI Number | 1326475203 |
|---|---|
| Provider Enumeration Date | 10/08/2013 |
| Last Update Date | 10/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326475203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 44056 (California) | Secondary |
| 122300000X | Dentist | 46363 (California) | Primary |
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