CARLOS ALBERTO PONI

LOMA LINDA, CA
NPI1619450020
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  101645)
Enumeration Date2018-09-11
Last Update Date2018-09-11
Business Address
CARLOS ALBERTO PONI DDS
11092 ANDERSON ST
LOMA LINDA, CA 92350-1706
Phone number: 909-558-4663
Mailing Address
CARLOS ALBERTO PONI DDS
186 CHESHIRE LN
SAN BERNARDINO, CA 92408-4151
Phone number: 909-754-8004
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