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Organization
JONATHAN VONGSCHANPHEN, DDS
Active
Organization
JONATHAN VONGSCHANPHEN, DDS
Active
Other names
Dr. Jon DDS
Organization subpart
No
Provider details
NPI number
Authorized official
BELLA ZARITSKY (DIRECTOR)
(480) 482-1070
Entity
Organization
Contact information
Practice address
2295 FIELDSTONE DR STE 230, LINCOLN, CA 95648-8809
(916) 435-2800
Mailing address
2295 FIELDSTONE DR STE 230, LINCOLN, CA 95648-8809
(916) 435-2800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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