| NPI | 1376792077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VOLKMAR ISAM FELAHY Dentist 916-435-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48908) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2008-09-17 |