| NPI | 1346493939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED RAMADAN ALASSUTY President 916-743-5743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 46724) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 53744) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2022-10-25 |