Organization · Type 2 NPI
Rebecca Irene A Pena D M D A Dental
Oral and Maxillofacial Surgery (Dentist) · Lakewood, CA
NPI number
1306190095
Active
Practice location
5445 Del Amo Blvd, Suite 103
Lakewood, CA 90712-2760
Fax (562) 920-1728
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | None listed |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
4 other providers at this address
About NPI 1306190095
Rebecca Irene A Pena D M D A Dental's National Provider Identifier is 1306190095, issued on Nov 1, 2012. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Lakewood, CA. The record was last updated on Mar 7, 2023.