NPI 1093555906

Noah Soo Palencia, DDS

Practitioner Dentist Apo, AA

Practice location

Address: 25501 Brainard Ave, Apo, AA 30905
Phone: (706) 787-7050
Mailing address: 1065 Williamsburg Way APT 4410, Evans, GA 30809-7645

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DDS113310 (CA)

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Registry record

NPI: 1093555906
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 May 2024
Record last updated: 4 Aug 2026

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.