Pena, Alejandro

Pena, Alejandro is an individual health care provider with primary practice located at 1364 N Garey Ave , Pomona CA 91767. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Pena, Alejandro can be contacted via phone (909) 622-0984.

Contact Information

Primary practice address
1364 N Garey Ave Pomona CA 91767
Fax: (909) 622-3113
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 30976 California

Profile Details

NPI number 1285795666
LBN Legal business name Pena, Alejandro
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285795666 NPPES
California Other B309760L MEDICAL
California Other 9702993 MEDICAL

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