Immanuel U. Selassie I
General Dentistry · Sacramento, CA
UnclaimedNPI 1053601039
- Primary taxonomy
- 122300000X
- Enumerated
- 2011-04-12
- Practice location
- Sacramento, CA
- Last NPPES update
- 2014-02-28
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.