Provider Demographics
NPI:1144384231
Name:VOLTAIRE V SAMBAJON, DDS, INC
Entity Type:Organization
Organization Name:VOLTAIRE V SAMBAJON, DDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VOLTAIRE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMBAJON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MD
Authorized Official - Phone:916-817-8000
Mailing Address - Street 1:2270 E BIDWELL ST
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-3556
Mailing Address - Country:US
Mailing Address - Phone:916-817-8000
Mailing Address - Fax:916-817-8004
Practice Address - Street 1:2270 E BIDWELL ST
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-3556
Practice Address - Country:US
Practice Address - Phone:916-817-8000
Practice Address - Fax:916-817-8004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2009-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA403921223S0112X
CAA72867204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
No204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial SurgeryGroup - Single Specialty