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Organization
LORETO R SICAM JR DMD INC
Active
Organization
LORETO R SICAM JR DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORETO R SICAM JR. DMD (PRESIDENT OWNER DENTIST)
(510) 357-8960
Entity
Organization
Contact information
Practice address
699 LEWELLING BLVD, STE 300, SAN LEANDRO, CA 94579-1870
(510) 357-8960
(510) 357-8905
Mailing address
699 LEWELLING BLVD, STE 300, SAN LEANDRO, CA 94579-1870
(510) 357-8960
(510) 357-8905
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39709
CA
Other
Enumeration date
02/15/2007
Last updated
08/22/2020
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