Individual
SHENG JI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6600 MADISON AVE STE 10, CARMICHAEL, CA 95608-0645
(916) 961-1902
Mailing address
6600 MADISON AVE STE 10, CARMICHAEL, CA 95608-0645
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
102727
CA
Other
Enumeration date
04/26/2013
Last updated
07/04/2019
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