Visayas Borgonia Montejo DMD

NPI 1780797340 - Dentist - 122300000X

NPI Details
NPI 1780797340
Gender Female
Enumeration Date 08/17/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4855 SANTA MONICA BLVD.
VISAYAS B. MONTEJO, DMD SUITE #111
LOS ANGELES CA, 90029, US
Phone (323) 664-9363
Fax (323) 668-2851
Business Location
4855 SANTA MONICA BLVD.
SUITE #111
LOS ANGELES CA, 90029, US
Phone (323) 664-9363
Fax (323) 668-2851
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 44950
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According to our database, Dr. Visayas Borgonia Montejo DMD NPI is 1780797340, taxonomy code is 122300000X and license number is 44950, license state is located at California. Visayas Borgonia Montejo DMD physically located at 4855 Santa Monica Blvd., Los Angeles CA, 90029. NPI Number Visayas Borgonia Montejo DMD has the Individual type.

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1780797340 NPI number is provided on an as is basis without warranty of any kind. 1780797340 is maintained by the National Plan & Provider Enumeration System. The contents of Visayas Borgonia Montejo DMD are for informational purposes only.