Luis Moncada, DMD

NPI #1629115688 in Raynham, Massachusetts

Provider Information

NPI Number: 1629115688
Entity Type: Individual
Name: Luis Moncada, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jan 31, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 500 RAYNHAM STREET WEST
City: Raynham
State: Massachusetts
ZIP Code: 02767
Phone: (508) 822-6565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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