| Loreto R Sicam Jr Dmd Inc | |
|
699 Lewelling Blvd Ste 300 San Leandro CA 94579-1870 | |
| (510) 357-8960 | |
| (510) 357-8905 |
| Full Name | Loreto R Sicam Jr Dmd Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 699 Lewelling Blvd, San Leandro, California |
| Authorized Official Name and Position | Loreto R Sicam (PRESIDENT OWNER DENTIST) |
| Authorized Official Contact | 5103578960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loreto R Sicam Jr Dmd Inc 699 Lewelling Blvd Ste 300 San Leandro CA 94579-1870 Ph: (510) 357-8960 | Loreto R Sicam Jr Dmd Inc 699 Lewelling Blvd Ste 300 San Leandro CA 94579-1870 Ph: (510) 357-8960 |
| NPI Number | 1033252150 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033252150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 39709 (California) | Primary |
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