Sicilia Marzouk D.D.S,Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

B41474 Issued in CA

Legal business name

SICILIA MARZOUK D.D.S,INC

Doing business as

Greenwood Dental

Practice address

1214 1/2 S Greenwood Ave
Montebello, CA 90640-6329

Phone

(323) 728-3272

Fax

(323) 728-3292

NPI assigned

Nov 22, 2006

Last updated

Jun 18, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sicilia Cecile Marzouk, D.D.S

Title

President

Phone

(323) 728-3272

Specialties & licenses 1

Addresses

Other names 1

• Greenwood Dental Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1841365715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 1/2 S GREENWOOD AVE",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906406329",
            "telephone_number": "323-728-3272",
            "fax_number": "323-728-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 1/2 S GREENWOOD AVE",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906406329",
            "telephone_number": "323-728-3272",
            "fax_number": "323-728-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SICILIA MARZOUK D.D.S,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "MARZOUK",
        "authorized_official_first_name": "SICILIA",
        "authorized_official_middle_name": "CECILE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-728-3272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "B41474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenwood Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Qiu Shen, HYPONTISTS
• Ramin Shenavad, D.D.S
• Victor Shi, M.D.
• Lynn Hae Shin, M.D.
• Anahit Anna Shmavonyan, M.A
• Hailey Amber Skiba, M.A.
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• General Practice Dentistry in Montebello, CA
• Providers in Montebello, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.