IMMANUEL UGONNIA SELASSIE I

SACRAMENTO, CA
NPI1053601039
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CA  56829)
Enumeration Date2011-04-12
Last Update Date2014-02-28
Business Address
Dr. IMMANUEL UGONNIA SELASSIE I
2430 FAIR OAKS BLVD (APT 120)
SACRAMENTO, CA 95825-5129
Phone number: 206-384-6915
Mailing Address
Dr. IMMANUEL UGONNIA SELASSIE I
2322 FRUITVALE AVE
OAKLAND, CA 94601-2534
Phone number: 510-520-4327
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