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1578837050
ALBERTO PONCEDELEON
SACRAMENTO, CA
NPI
1578837050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 40875)
Additional Taxonomies
122300000X Dentist
(Licence: CA 40001)
Enumeration Date
2012-03-01
Last Update Date
2012-03-01
Business Address
Dr. ALBERTO PONCEDELEON dmd
1589 W EL CAMINO AVE
SACRAMENTO, CA 95833-1997
Phone number: 916-564-2020
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Mailing Address
Dr. ALBERTO PONCEDELEON dmd
1589 WEST EL CAMINO AVENUE
SACRAMENTO, CA 95833
Phone number: 916-564-2020
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