Max Moncayo DDS Dental Corporation

NPI #1053845172 in Pacific Palisades, California

Provider Information

NPI Number: 1053845172
Entity Type: Organization
Organization Name: Max Moncayo DDS Dental Corporation
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: Apr 14, 2017
Last Updated: Apr 14, 2017

Practice Location

Address: 881 ALMA REAL DR
Address 2: SUITE T4
City: Pacific Palisades
State: California
ZIP Code: 90272-3731
Phone: (310) 459-0014

Authorized Official

Name: DR. MAX PAUL MONCAYO, DDS
Title: PRESIDENT
Phone: (310) 459-0014

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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