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MAX MONCAYO DDS DENTAL CORPORATION NPI 1053845172


NPI Information

NPI: 1053845172
Provider Name: MAX MONCAYO DDS DENTAL CORPORATION

Doing Business As: PALISADES SURGICAL ARTS

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
881 ALMA REAL DR
SUITE T4
PACIFIC PALISADES, CA
ZIP 90272
Phone: (310) 459-0014
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MAX MONCAYO DDS DENTAL CORPORATION is an oral and maxillofacial surgery dentist in Pacific Palisades, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. MAX MONCAYO DDS DENTAL CORPORATION NPI is 1053845172. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Palisades Surgical Arts.

The provider's business location address is:

881 ALMA REAL DR
SUITE T4
PACIFIC PALISADES, CA
ZIP 90272-731
Phone: (310) 459-0014

The provider's authorized official is Max Paul Moncayo .
The authorized official title is President and has the following contact phone number (310) 459-0014.

The enumeration date for this NPI number is 4/14/2017 and was last updated on 4/14/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery53926CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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