Organization
DALLA DDS INC
Active
Other names
laguna west dental care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEVAN DALLA (PRESIDENT)
(646) 427-6519
Entity
Organization
Contact information
Practice address
9098 LAGUNA MAIN ST STE 8, ELK GROVE, CA 95758-7449
(916) 683-7300
Mailing address
9098 LAGUNA MAIN ST STE 8, ELK GROVE, CA 95758-7449
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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