Organization
MANISHA SISODIA, DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANISHA SISODIA DDS (PRESIDENT)
(213) 595-9757
Entity
Organization
Contact information
Practice address
1720 E LOS ANGELES AVE STE 210, SIMI VALLEY, CA 93065-2094
(805) 527-6755
Mailing address
1720 E LOS ANGELES AVE STE 210, SIMI VALLEY, CA 93065-2094
(805) 527-6755
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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