| Justin Sycamore Dds | |
|
777 E Thousand Oaks Blvd Thousand Oaks CA 91360-6054 | |
| (805) 777-0050 | |
| (805) 777-0040 |
| Full Name | Justin Sycamore Dds |
|---|---|
| Speciality | Dentist |
| Location | 777 E Thousand Oaks Blvd, Thousand Oaks, California |
| Authorized Official Name and Position | Justin Sycamore (DENTIST) |
| Authorized Official Contact | 8057770050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Sycamore Dds 777 E Thousand Oaks Blvd Thousand Oaks CA 91360-6054 Ph: (805) 777-0050 | Justin Sycamore Dds 777 E Thousand Oaks Blvd Thousand Oaks CA 91360-6054 Ph: (805) 777-0050 |
| NPI Number | 1346643319 |
|---|---|
| Provider Enumeration Date | 10/03/2014 |
| Last Update Date | 10/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346643319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 59913 (California) | Primary |
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