Wisam Mohammed Imran Al Janabi
Dentist in Sacramento, CA. Individual provider (NPI-1).
NPI number1316629660
StatusActive
Last updated in NPPESAug 7, 2023
Details
- NPI
- 1316629660
- Entity type
- Individual (NPI-1)
- Name
- Wisam Mohammed Imran Al Janabi
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 7, 2023
- Certification date
- Aug 5, 2023
- Last updated
- Aug 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 108980 | CA | Yes |
Practice location
1701 Watt AveSacramento, CA 95825-2141
Phone 916-576-1900
Mailing address
3911 Annadale LnSacramento, CA 95821-2040
Phone 619-457-7128
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