| Othman Sijlamassi Dmd Professional Dental Corp | |
|
8363 Reseda Blvd Ste 10 Northridge CA 91324-4695 | |
| (818) 370-3778 | |
| Not Available |
| Full Name | Othman Sijlamassi Dmd Professional Dental Corp |
|---|---|
| Speciality | Dentist |
| Location | 8363 Reseda Blvd Ste 10, Northridge, California |
| Authorized Official Name and Position | Othman Sijlamassi (PRESIDENT) |
| Authorized Official Contact | 8183703778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Othman Sijlamassi Dmd Professional Dental Corp 6832 Ponce Ave West Hills CA 91307-2610 Ph: () - | Othman Sijlamassi Dmd Professional Dental Corp 8363 Reseda Blvd Ste 10 Northridge CA 91324-4695 Ph: (818) 370-3778 |
| NPI Number | 1275313132 |
|---|---|
| Provider Enumeration Date | 09/28/2023 |
| Last Update Date | 09/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275313132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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