# MATTHEW A MONACO DDS,LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Meridian Park Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235679515
- **Authorized official:** DR. MATTHEW MONACO DDS (OWNER)
- **Authorized official phone:** (907) 373-6670

## Contact information

- **Practice address:** 3465 E MERIDIAN PARK LOOP, SUITE A, WASILLA, AK 99654-7264
- **Practice address phone:** (907) 373-6670
- **Practice address fax:** (908) 312-2525
- **Mailing address:** 3465 E MERIDIAN PARK LOOP, SUITE A, WASILLA, AK 99654-7264
- **Mailing address phone:** (907) 373-6670
- **Mailing address fax:** (908) 312-2525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | AK | Yes |

## Other

- **Enumeration date:** 03/06/2017
- **Last updated:** 03/06/2017