Most Relevant Information
Provider Data
NPI Number: | 1003173162 |
Provider Name: | ESTER LISA PENA DOMINGO DDS |
Entity Type: | Individual |
Taxonomy Code: | 122300000X |
Specialty: | Dentist |
License Number: | 42464 |
Most Important Dates
Enumeration Date: | 04/13/2012 |
Last Updated: | 04/13/2012 |
Provider Practice Location
4040 PIMLICO DR
SUITE 120
PLEASANTON
CA
945883485
Practice Location Phone/Fax
Phone: | 9252249800 |
Fax: | 9252249907 |
Provider Mailing Location
4040 PIMLICO DR
SUITE 120
PLEASANTON
CA
945883485
Provider Mailing Phone/Fax
Phone: | 9252249800 |
Fax: | 9252249907 |