Justin Sycamore Dds | |
777 E Thousand Oaks Blvd Thousand Oaks CA 91360-6054 | |
(805) 777-0050 | |
(805) 777-0040 |
Full Name | Justin Sycamore Dds |
---|---|
Speciality | Dentist |
Location | 777 E Thousand Oaks Blvd, Thousand Oaks, California |
Authorized Official Name and Position | Justin Sycamore (DENTIST) |
Authorized Official Contact | 8057770050 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Justin Sycamore Dds 777 E Thousand Oaks Blvd Thousand Oaks CA 91360-6054 Ph: (805) 777-0050 | Justin Sycamore Dds 777 E Thousand Oaks Blvd Thousand Oaks CA 91360-6054 Ph: (805) 777-0050 |
NPI Number | 1346643319 |
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Provider Enumeration Date | 10/03/2014 |
Last Update Date | 10/03/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346643319 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 59913 (California) | Primary |
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