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General NPI Number Information
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NPI Number | 1760646889
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Entity Type | Individual
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Provider Name | DR. CARLOS E FEUILLET
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Gender | Male
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Dates
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Enumeration Date | 07/17/2008
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Last Update Date | 07/17/2008
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Provider Practice Location Address
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Address Line | 1355 FLORIN RD SUITE 3
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City | SACRAMENTO
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State | CA
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Zip | 95822-4231
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Country | US
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Telephone | 916-424-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 1661 FOREST AVE APARTMENT #197
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City | CHICO
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State | CA
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Zip | 95928-6375
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Country | US
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Telephone | 916-960-8408
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 57112
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License Number State | CA
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