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Organization
DR. SERENA PUGEDA, D.M.D.
Active
Organization
DR. SERENA PUGEDA, D.M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SERENA GUERRERO PUGEDA D.M.D. (DENTIST)
(916) 446-7768
Entity
Organization
Contact information
Practice address
2518 L ST, SUITE A, SACRAMENTO, CA 95816-5655
(916) 446-7768
(916) 446-9014
Mailing address
2518 L ST, SUITE A, SACRAMENTO, CA 95816-5655
(916) 446-7768
(916) 446-9014
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
43064
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43064
DENTICAL
CA
Enumeration date
09/05/2007
Last updated
09/05/2007
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