Organization
MOHAMED ELHASSANIN DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED IBRAHIEM ELHASSANIN DDS (DENTIST)
(916) 256-0158
Entity
Organization
Contact information
Practice address
1901 WATT AVE STE 6, SACRAMENTO, CA 95825-2152
(916) 482-2755
Mailing address
1901 WATT AVE STE 6, SACRAMENTO, CA 95825-2152
(916) 482-2755
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
52049
CA
Other
Enumeration date
10/26/2007
Last updated
10/26/2007
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