| NPI | 1952580912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED IBRAHIEM ELHASSANIN Dentist 916-256-0158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 52049) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2007-10-26 |