Individual
DR. CURTIS P PON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5030 LAGUNA BLVD, SUITE 108, ELK GROVE, CA 95758-4149
(916) 684-4888
(916) 684-6999
Mailing address
5030 LAGUNA BLVD, SUITE 108, ELK GROVE, CA 95758-4149
(916) 684-4888
(916) 684-6999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39558
CA
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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