Individual
DR. MAX PAUL MONCAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
881 ALMA REAL DR STE T4, PACIFIC PALISADES, CA 90272-3743
(310) 459-0014
Mailing address
3515 SAN JOAQUIN PLZ, NEWPORT BEACH, CA 92660-5971
(909) 908-9660
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
DD5229
NM
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
00205024
CO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
53926
CA
Other
Enumeration date
02/06/2006
Last updated
04/22/2022
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