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Individual
DR. JAY PONTO
Active
Individual
DR. JAY PONTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
63540
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
46593
AL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
46593
AL
Other
Enumeration date
07/03/2015
Last updated
05/16/2024
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