Organization
CERISA MONCAYO D.D.S. DENTAL CORPORATION
Active
Other names
The Palisades Dentists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CERISA MONCAYO DDS (OWNER)
(661) 902-1153
Entity
Organization
Contact information
Practice address
881 ALMA REAL DR STE T2, PACIFIC PALISADES, CA 90272-3741
(310) 459-2303
Mailing address
881 ALMA REAL DR STE T2, PACIFIC PALISADES, CA 90272-3741
(310) 459-2303
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61688
CA
Other
Enumeration date
04/14/2017
Last updated
04/14/2017
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