Individual
DR. SLIM BOUCHOUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.S.
Contact information
Practice address
940 SYLVA LN, SUITE K1, SONORA, CA 95370-5969
(209) 532-5578
(209) 532-6216
Mailing address
940 SYLVA LN, SUITE K1, SONORA, CA 95370-5969
(209) 532-5578
(209) 532-6216
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
41705
CA
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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