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Organization
PONCE DE LEON DENTAL
Active
Organization
PONCE DE LEON DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERTO PONCE DE LEON D.M.D. (DENTIST/CO-OWNER)
(916) 564-2020
Entity
Organization
Contact information
Practice address
1589 W. EL CAMINO AVE., STE. 108, SACRAMENTO, CA 95833
(916) 564-2020
(916) 564-3900
Mailing address
1589 W. EL CAMINO AVE, SUITE 108, SACRAMENTO, CA 95833
(916) 564-2020
(916) 564-3900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40875
CA
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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