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Organization
LAGUNA SPRINGS DENTAL
Active
Organization
LAGUNA SPRINGS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED MOSTAFA MAHMOUD DDS (DDS)
(209) 204-0754
Entity
Organization
Contact information
Practice address
9299 LAGUNA SPRINGS DR, #100, ELK GROVE, CA 95758-7976
(209) 204-0754
Mailing address
9299 LAGUNA SPRINGS DR, #100, ELK GROVE, CA 95758-7976
(209) 204-0754
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
52888
CA
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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