| Ponce De Leon Dental | |
|
1589 W. El Camino Ave. Ste. 108 Sacramento CA 95833 | |
| (916) 564-2020 | |
| (916) 564-3900 |
| Full Name | Ponce De Leon Dental |
|---|---|
| Speciality | Dentist |
| Location | 1589 W. El Camino Ave., Sacramento, California |
| Authorized Official Name and Position | Alberto Ponce De Leon (DENTIST/CO-OWNER) |
| Authorized Official Contact | 9165642020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ponce De Leon Dental 1589 W. El Camino Ave Suite 108 Sacramento CA 95833 Ph: (916) 564-2020 | Ponce De Leon Dental 1589 W. El Camino Ave. Ste. 108 Sacramento CA 95833 Ph: (916) 564-2020 |
| NPI Number | 1851693295 |
|---|---|
| Provider Enumeration Date | 11/17/2010 |
| Last Update Date | 11/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851693295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 40875 (California) | Primary |
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