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:
Health care specialties
Specialty | Code | License # | 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 17 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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