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Organization
DALLA DDS INC
Active
Organization
DALLA DDS INC
Active
Other names
laguna west dental care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEVAN DALLA (PRESIDENT)
(646) 427-6519
Entity
Organization
Contact information
Practice address
9098 LAGUNA MAIN ST STE 8, ELK GROVE, CA 95758-7449
(916) 683-7300
Mailing address
9098 LAGUNA MAIN ST STE 8, ELK GROVE, CA 95758-7449
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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