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Dr. Fernando De La Pena, DMD
General Practice Dentistry in Los Angeles, California
NPI 1174652135

Fernando De La Pena is a General Practice Dentistry based in Los Angeles, CA and is specialized in General Practice. Fernando De La Pena practices in Los Angeles, CA and has the professional credentials of DMD. The NPI Number for Fernando De La Pena is 1174652135 and holds a License No. 43934 (California).

The current practice location address for Fernando De La Pena is 2701 Beverly Blvd, Los Angeles, CA and can be reached out via phone at 213-389-6211 and via fax at 213-389-4168.

Location: 2701 Beverly Blvd, Los Angeles, CA, 90039-1711
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174652135
Provider Name
Fernando De La Pena
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2701 Beverly Blvd, Los Angeles, CA, 90039-1711
Phone Number
213-389-6211
Fax Number
213-389-4168
Provider Enumeration Date
03/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B43934-01 01 CA DENTI-CAL PROVIDER NO.
institution
Provider Business Practice Location Address Details
Address
2701 Beverly Blvd
City
Los Angeles
State
California
Zip
90057-1007
Phone Number
213-389-6211
Fax Number
213-389-4168
person
Provider Business Mailing Address Details
Address
2701 Beverly Blvd
City
Los Angeles
State
California
Zip
90057-1007
Phone Number
213-389-6211
Fax Number
213-389-4168
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
43934 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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