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General NPI Number Information
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NPI Number | 1891229886
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Entity Type | Individual
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Provider Name | EDMUND MONSEF DMD
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Gender | Male
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Dates
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Enumeration Date | 04/17/2017
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 72650 FRED WARING DR STE 207
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City | PALM DESERT
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State | CA
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Zip | 92260-5009
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Country | US
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Telephone | 760-340-3341
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Fax |
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Provider Business Mailing 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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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 101266
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License Number State | CA
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