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Organization
JUSTIN SYCAMORE DDS
Active
Organization
JUSTIN SYCAMORE DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN SYCAMORE DDS (DENTIST)
(805) 777-0050
Entity
Organization
Contact information
Practice address
777 E THOUSAND OAKS BLVD, THOUSAND OAKS, CA 91360-6054
(805) 777-0050
(805) 777-0040
Mailing address
777 E THOUSAND OAKS BLVD, THOUSAND OAKS, CA 91360-6054
(805) 777-0050
(805) 777-0040
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
59913
CA
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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