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Geoffrey Glen Pena, DMD
General Practice Dentistry in Tracy, California
NPI 1962014282

Geoffrey Glen Pena is a General Practice Dentistry based in Tracy, CA and is specialized in General Practice. Geoffrey Glen Pena practices in Tracy, CA and has the professional credentials of DMD. The NPI Number for Geoffrey Glen Pena is 1962014282 and holds a License No. 105245 (California).

The current practice location address for Geoffrey Glen Pena is 1401 W 11Th St Ste A, Tracy, CA and can be reached out via phone at 209-830-7477.

Location: 1401 W 11Th St Ste A, Tracy, CA, 95376-3702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962014282
Provider Name
Geoffrey Glen Pena
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1401 W 11Th St Ste A, Tracy, CA, 95376-3702
Phone Number
209-830-7477
Fax Number
Provider Enumeration Date
08/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1401 W 11Th St Ste A
City
Tracy
State
California
Zip
95376-3702
Phone Number
209-830-7477
Fax Number
person
Provider Business Mailing Address Details
Address
1401 W 11Th St Ste A
City
Tracy
State
California
Zip
95376-3702
Phone Number
209-830-7477
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
105245 (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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