Organization
MAX MONCAYO DDS DENTAL CORPORATION
Active
Other names
Palisades Surgical Arts
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAX PAUL MONCAYO DDS (PRESIDENT)
(310) 459-0014
Entity
Organization
Contact information
Practice address
881 ALMA REAL DR, SUITE T4, PACIFIC PALISADES, CA 90272-3731
(310) 459-0014
Mailing address
881 ALMA REAL DR, SUITE T4, PACIFIC PALISADES, CA 90272-3731
(310) 459-0014
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
53926
CA
Other
Enumeration date
04/14/2017
Last updated
04/14/2017
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