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NPI Code Detail

MEDICARE: DDS SHARILYN THERESE MONIZ

MEDICARE: DDS SHARILYN THERESE MONIZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1568133437
Entity Type Code : Organization
Provider Name (Legal Business Name) : DDS SHARILYN THERESE MONIZ
Provider Business Mailing Address
First Line : 3424 1ST AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-4802
Country : US
Telephone Number : 619-722-9500
Fax Number :
Provider Business Practice Location Address
First Line : 3424 1ST AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-4802
Country : US
Telephone Number : 619-722-9500
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. SHARILYN THERESE MONIZ
Credential : DDS
Telephone Number : 619-722-9500
Provider Enumeration Date : 09/21/2021
Last Update Date : 09/23/2021

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Directions to “DDS SHARILYN THERESE MONIZ ” Practice Location

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