Organization Name: | VOLTAIRE V SAMBAJON, DDS, INC |
NPI Number: | 1144384231 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VOLTAIRE SAMBAJON (PRESIDENT) |
Mailing Address: | 2270 E Bidwell St Folsom |
State: | CA US |
Postal Code: | 956303556 |
Phone Number: | 9168178000 |
Fax Number: | 9168178004 |
NPI Enumeration Date: | 12/21/2006 |
NPI Last Update Date: | 09/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204E00000X |
License Number: | A72867 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Oral & Maxillofacial Surgery |
Taxonomy Specialization: | |
Taxonomy Definition: |