Geoffrey Glen Pena, DMD Valid NPI
Individual provider · General Practice Dentistry · Tracy, CA
- NPI
- 1962014282
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 105245 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2020-08-18
- Last updated
- 2020-08-18
Practice location
1401 W 11th St Ste A
Tracy, CA 95376-3702
(209) 830-7477