| NPI | 1972896785 |
|---|---|
| Doing Business As | SONORA ORAL & MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | SLIM BOUCHOUCHA Doctor/Owner 209-532-5578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2011-05-26 |