Organization
CAPITAL PERIODONTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARISTIDIS PONTIKAS DMD MS (PERIODONTIST)
(916) 971-3461
Entity
Organization
Contact information
Practice address
1810 PROFESSIONAL DRIVE, SACRAMENTO, CA 95825
(916) 971-3461
(916) 973-9830
Mailing address
PO BOX 255747, SACRAMENTO, CA 95865
(916) 394-6555
(916) 394-6545
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
02/22/2007
Last updated
08/22/2020
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