Individual
JUAN MONCADA LULE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2717 WILLOWBROOK AVE, PALMDALE, CA 93551-1509
(310) 923-1873
Mailing address
2717 WILLOWBROOK AVE, PALMDALE, CA 93551-1509
(310) 923-1873
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
CA
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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