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General NPI Number Information
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NPI Number | 1679382642
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Entity Type | Organization
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Legal Business Name | MONSEF DENTAL CORPORATION
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Dates
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Enumeration Date | 01/04/2025
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Last Update Date | 01/04/2025
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Provider Practice Location Address
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Address Line | 235 S HIGHWAY 101 STE A
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City | SOLANA BEACH
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State | CA
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Zip | 92075-1807
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Country | US
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Telephone | 858-321-7668
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Fax |
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Provider Business Mailing Address
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Address Line | 1760 SEAVIEW AVE
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City | DEL MAR
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State | CA
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Zip | 92014-2226
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Country | US
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Telephone | 818-359-4610
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EDMUND MONSEF
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Credential | DMD
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Telephone | 818-359-4610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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