| NPI | 1952318529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED RAGAB MEGALLY President Dds 209-722-9411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 52757) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2014-10-12 |