Organization
MONICA VELEZ DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONICA VELEZ DMD (OWNER)
(760) 242-5300
Entity
Organization
Contact information
Practice address
16127 KASOTA RD, SUITE 104, APPLE VALLEY, CA 92307-2204
(760) 242-5300
(760) 946-4883
Mailing address
16127 KASOTA RD, SUITE 104, APPLE VALLEY, CA 92307-2204
(760) 242-5300
(760) 946-4883
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
59107
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639400443
TYPE 1 NPI
—
Enumeration date
06/16/2011
Last updated
06/16/2011
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