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IMMANUEL SELASSIE I
Dentist
NPI: 1053601039Individual
Specialties, Licenses & Credentials
DentistPrimary
Dentist
Code: 122300000X
56829(CA)
Contact & Hours
- Address
- 2430 FAIR OAKS BLVD (APT 120)
SACRAMENTO, CA 95825 - Phone
- (206) 384-6915
Quick Facts
- NPI
- 1053601039
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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