| Laguna Creek Family Dentistry | |
|
5030 Laguna Blvd Ste 108 Elk Grove CA 95758-4149 | |
| (916) 684-4888 | |
| (916) 684-6999 |
| Full Name | Laguna Creek Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 5030 Laguna Blvd Ste 108, Elk Grove, California |
| Authorized Official Name and Position | Curtis P Pon (OWNER) |
| Authorized Official Contact | 9166844888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laguna Creek Family Dentistry 5030 Laguna Blvd Ste 108 Elk Grove CA 95758-4149 Ph: (916) 684-4888 | Laguna Creek Family Dentistry 5030 Laguna Blvd Ste 108 Elk Grove CA 95758-4149 Ph: (916) 684-4888 |
| NPI Number | 1063703643 |
|---|---|
| Provider Enumeration Date | 04/29/2011 |
| Last Update Date | 04/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063703643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 39558 (California) | Primary |
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