Individual
DR. ALBERTO PONCEDELEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1589 W EL CAMINO AVE, SACRAMENTO, CA 95833-1997
(916) 564-2020
(916) 564-3900
Mailing address
1589 WEST EL CAMINO AVENUE, SACRAMENTO, CA 95833
(916) 564-2020
(916) 564-3900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
40001
CA
122300000X
Dentist
Primary
40875
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851693295
DENTAL
CA
Enumeration date
03/01/2012
Last updated
03/01/2012
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