Cerisa Moncayo D.d.s. Dental Corporation

NPI #1134653256 in Pacific Palisades, California

Provider Information

NPI Number: 1134653256
Entity Type: Organization
Organization Name: Cerisa Moncayo D.d.s. Dental Corporation
Primary Specialty: Dentist
Enumeration Date: Apr 14, 2017
Last Updated: Apr 14, 2017

Practice Location

Address: 881 ALMA REAL DR STE T2
City: Pacific Palisades
State: California
ZIP Code: 90272-3741
Phone: (310) 459-2303

Authorized Official

Name: DR. CERISA MONCAYO, DDS
Title: OWNER
Phone: (661) 902-1153

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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