| Organization Name: | PEMA DENTAL CARE |
| NPI Number: | 1407188204 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NILESH PEMA (OWNER) |
| Mailing Address: | 10668 Riverside Dr Toluca Lake |
| State: | CA US |
| Postal Code: | 916022319 |
| Phone Number: | 8187609912 |
| Fax Number: | 8187609913 |
| NPI Enumeration Date: | 02/03/2010 |
| NPI Last Update Date: | 02/03/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 48536 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |