Organization
SATTOUT DENTAL CORP
Active
Other names
Laguna Pavilion Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR SATTOUT DDS (DR)
(909) 248-8417
Entity
Organization
Contact information
Practice address
7440 LAGUNA BLVD STE 105, ELK GROVE, CA 95758-5072
(909) 248-8417
Mailing address
7440 LAGUNA BLVD STE 105, ELK GROVE, CA 95758-5072
(909) 248-8417
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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