| Dr Slim Bouchoucha, DDS,MS | |
|
940 Sylva Ln, Suite K1, Sonora, CA 95370-5969 | |
| (209) 532-5578 | |
| (209) 532-6216 |
| Full Name | Dr Slim Bouchoucha |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 940 Sylva Ln, Sonora, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275652422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 41705 (California) | Primary |
| Entity Name | County of Los Angeles |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1780877613 PECOS PAC ID: 1850296534 Enrollment ID: O20090713000358 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Slim Bouchoucha, DDS,MS 940 Sylva Ln, Suite K1, Sonora, CA 95370-5969 Ph: (209) 532-5578 | Dr Slim Bouchoucha, DDS,MS 940 Sylva Ln, Suite K1, Sonora, CA 95370-5969 Ph: (209) 532-5578 |
Wayne Alan Mathe, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 101 Hospital Rd, Sonora, CA 95370 Phone: 209-533-7213 |
Dr. Scott Carl Henning, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 14570 Mono Way, Suite I, Sonora, CA 95370 Phone: 209-536-1954 Fax: 209-536-6554 |
Paul J Berger, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 13919 Mono Way, Sonora, CA 95370 Phone: 209-533-9630 Fax: 209-536-6044 |
Navita Kalair, Dentist Medicare: May Accept Medicare Assignments Practice Location: Mact Dental, Sonora 13975 Mono Way, Suite I, Sonora, CA 95370 Phone: 209-533-9603 |
Patricia Rivas, DDS Dentist Medicare: Medicare Enrolled Practice Location: 13975 Mono Way Ste I, Sonora, CA 95370 Phone: 209-533-9603 Fax: 209-533-9604 |
Dr. Robyn Alison Ritchie, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 193 Fairview Ln Ste J, Sonora, CA 95370 Phone: 209-754-3816 |
Dr. David E. Woodhams, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 13945 Mono Way, Suite A, Sonora, CA 95370 Phone: 209-532-0808 Fax: 209-532-1331 |