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Individual

DR. ROGER SHERMAN LIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
13308 MOORPARK ST, SHERMAN OAKS, CA 91423-3918
(818) 783-4565
Mailing address
13308 MOORPARK ST, SHERMAN OAKS, CA 91423-3918
(818) 783-4565

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
45487
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D45487
RENDERING PROVIDER #
CA
Enumeration date
02/09/2007
Last updated
12/05/2024
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