| NPI | 1144384231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VOLTAIRE SAMBAJON President 916-817-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 40392) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: CA A72867) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2009-09-06 |