Organization
SONORA ORAL & MAXILLOFACIAL SURGERY DENTAL GROUP
Active
Other names
Sonora Oral & Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SLIM BOUCHOUCHA D.D.S., M.S. (DOCTOR/OWNER)
(209) 532-5578
Entity
Organization
Contact information
Practice address
940 SYLVA LN, SUITE K-1, SONORA, CA 95370-5969
(209) 532-5578
(209) 532-6730
Mailing address
940 SYLVA LN, SUITE K-1, SONORA, CA 95370-5969
(209) 532-5578
(209) 532-6730
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up