NPI 1053923540

Randy Raymundo Penoliar, RDA

Practitioner Dental Assistant North Hills, CA

Practice location

Address: 15350 Nordhoff St Unit A15350, North Hills, CA 91343-2234
Phone: (818) 724-8416

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

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Registry record

NPI: 1053923540
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Aug 2020
Record last updated: 18 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.