# THE CENTER FOR IMPLANT & COSMETIC DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr Sam Sherif
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124398250
- **Authorized official:** SAM SHERIF DMD, DMEDSC (DOCTOR / DIRECTOR)
- **Authorized official phone:** (805) 497-2222

## Contact information

- **Practice address:** 115 JENSEN CT, SUITE 100, THOUSAND OAKS, CA 91360-7406
- **Practice address phone:** (805) 497-2222
- **Practice address fax:** (805) 497-2280
- **Mailing address:** 115 JENSEN CT, SUITE 100, THOUSAND OAKS, CA 91360-7406
- **Mailing address phone:** (805) 497-2222
- **Mailing address fax:** (805) 497-2280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | 57628 | CA | Yes |

## Other

- **Enumeration date:** 01/05/2012
- **Last updated:** 01/05/2012