| NPI | 1235871450 |
|---|---|
| Doing Business As | SACRAMENTO ORAL SURGERY ROSEVILLE |
| Entity Type | Organization |
| Authorized Contact | CELIA HAYES Credentialing Coordiantor 217-540-2100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2022-04-08 |