Individual
DOROTHY PONTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
3151 OLIN AVE STE 101, SAN JOSE, CA 95117-1635
(408) 377-9555
Mailing address
3151 OLIN AVE STE 101, SAN JOSE, CA 95117-1635
(408) 377-9555
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
26475
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0264750
BLUE SHIELD PIN
CA
Enumeration date
04/17/2007
Last updated
05/19/2008
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