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Organization
MONCADA DENTAL CORPORATION
Active
Organization
MONCADA DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELO G MONCADA (DENTIST)
(323) 663-7897
Entity
Organization
Contact information
Practice address
1321 N VERMONT AVE SUITE B, LOS ANGELES, CA 90027
(323) 663-7897
(323) 663-7803
Mailing address
1321 N VERMONT AVE SUITE B, LOS ANGELES, CA 90027
(323) 663-7897
(323) 663-7803
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
43643
CA
Other
Enumeration date
02/12/2007
Last updated
07/10/2007
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