Sycamore Dentistry | |
1189 Roadrunner Way Simi Valley CA 93065-3159 | |
(626) 808-3793 | |
Not Available |
Full Name | Sycamore Dentistry |
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Speciality | Dentist - General Practice |
Location | 1189 Roadrunner Way, Simi Valley, California |
Authorized Official Name and Position | Michael Sycamore (PRESIDENT) |
Authorized Official Contact | 6268083793 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sycamore Dentistry 4209 Via Arbolada Unit 134 Los Angeles CA 90042-5094 Ph: (626) 808-3793 | Sycamore Dentistry 1189 Roadrunner Way Simi Valley CA 93065-3159 Ph: (626) 808-3793 |
NPI Number | 1982964656 |
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Provider Enumeration Date | 05/29/2012 |
Last Update Date | 05/29/2012 |
Identifier | Type | State | Issuer |
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1982964656 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 59942 (California) | Primary |
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