| Manisha Sisodia, Dds Inc. | |
|
1720 E Los Angeles Ave Ste 210 Simi Valley CA 93065-2094 | |
| (805) 527-6755 | |
| Not Available |
| Full Name | Manisha Sisodia, Dds Inc. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1720 E Los Angeles Ave Ste 210, Simi Valley, California |
| Authorized Official Name and Position | Manisha Sisodia (PRESIDENT) |
| Authorized Official Contact | 2135959757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manisha Sisodia, Dds Inc. 1720 E Los Angeles Ave Ste 210 Simi Valley CA 93065-2094 Ph: (805) 527-6755 | Manisha Sisodia, Dds Inc. 1720 E Los Angeles Ave Ste 210 Simi Valley CA 93065-2094 Ph: (805) 527-6755 |
| NPI Number | 1194439612 |
|---|---|
| Provider Enumeration Date | 01/09/2023 |
| Last Update Date | 01/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194439612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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