Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sonora Oral & Maxillofacial Surgery Dental Group

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1972896785

Sonora Oral & Maxillofacial Surgery Dental Group is an Oral and Maxillofacial Surgery (Dentist) in Sonora, California. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

940 Sylva Ln Ste K-1
Sonora, CA 95370-5969
Phone: (209) 532-5578
Fax: (209) 532-6730
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1972896785
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Slim Bouchoucha — Doctor/Owner · (209) 532-5578
Other names Sonora Oral & Maxillofacial Surgery
NPI enumeratedMay 26, 2011
Last updated in NPPESMay 26, 2011
Mailing address940 Sylva Ln, Suite K-1, Sonora, CA 95370-5969

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