Individual provider · Type 1 NPI

Slim Bouchoucha, DDS, M.S.

Oral and Maxillofacial Surgery (Dentist) · Sonora, CA

NPI number 1275652422 Active

Practice location

940 Sylva Ln, Suite K1
Sonora, CA 95370-5969

Fax (209) 532-6216

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X41705 (CA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1275652422

Slim Bouchoucha, DDS, M.S.'s National Provider Identifier is 1275652422, issued on Mar 28, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Sonora, CA. The record was last updated on Jul 8, 2007.