Individual
DR. JAMES J SY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
32621
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G93861-01
CALIF MEDI-CAL DENTAL PRO
CA
Enumeration date
11/06/2006
Last updated
07/08/2007
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