Moncayo, Max Paul
Moncayo, Max Paul is an sole proprietor health care provider with primary practice located at 881 Alma Real Dr Ste T4 , Pacific Palisades CA 90272-3743. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Moncayo, Max Paul can be contacted via phone (310) 459-0014.Contact Information
Primary practice address
881 Alma Real Dr Ste T4
Pacific Palisades CA 90272-3743
Phone: (310) 459-0014
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | DD5229 | New Mexico |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 53926 | California |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 00205024 | Colorado |
Profile Details
| NPI number | 1588636310 |
|---|---|
| LBN Legal business name | Moncayo, Max Paul |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Apr 22nd, 2022 - about 4 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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