| Laguna Springs Dental | |
|
9299 Laguna Springs Dr #100 Elk Grove CA 95758-7976 | |
| (209) 204-0754 | |
| Not Available |
| Full Name | Laguna Springs Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9299 Laguna Springs Dr, Elk Grove, California |
| Authorized Official Name and Position | Mohamed Mostafa Mahmoud (DDS) |
| Authorized Official Contact | 2092040754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laguna Springs Dental 9299 Laguna Springs Dr #100 Elk Grove CA 95758-7976 Ph: (209) 204-0754 | Laguna Springs Dental 9299 Laguna Springs Dr #100 Elk Grove CA 95758-7976 Ph: (209) 204-0754 |
| NPI Number | 1578961504 |
|---|---|
| Provider Enumeration Date | 12/08/2014 |
| Last Update Date | 12/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578961504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 52888 (California) | Primary |
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