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Organization
MICHAEL SYCAMORE DENTAL CORPORATION
Active
Organization
MICHAEL SYCAMORE DENTAL CORPORATION
Active
Other names
Sycamore Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SYCAMORE DDS (PRESIDENT)
(626) 808-3793
Entity
Organization
Contact information
Practice address
1189 ROADRUNNER WAY, SIMI VALLEY, CA 93065-3159
(626) 808-3793
Mailing address
4209 VIA ARBOLADA UNIT 134, LOS ANGELES, CA 90042-5094
(626) 808-3793
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
59942
CA
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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