Moncada, Fausto R

Moncada, Fausto R is an sole proprietor health care provider with primary practice located at 2400 Westborough Blvd Ste. 204, South San Francisco CA 94080-5404. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Moncada, Fausto R can be contacted via phone (650) 588-0288.

Contact Information

Primary practice address
2400 Westborough Blvd Ste. 204 South San Francisco CA 94080-5404
Phone: (650) 588-0288
Fax: (650) 588-0584
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 33812 California

Profile Details

NPI number 1790809218
LBN Legal business name Moncada, Fausto R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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