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Organization
LAGUNA CREEK FAMILY DENTISTRY
Active
Organization
LAGUNA CREEK FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CURTIS P PON DDS (OWNER)
(916) 684-4888
Entity
Organization
Contact information
Practice address
5030 LAGUNA BLVD STE 108, ELK GROVE, CA 95758-4149
(916) 684-4888
(916) 684-6999
Mailing address
5030 LAGUNA BLVD STE 108, ELK GROVE, CA 95758-4149
(916) 684-4888
(916) 684-6999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39558
CA
Other
Enumeration date
04/29/2011
Last updated
04/29/2011
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