JUAN MONCADA LULE

PALMDALE, CA
NPI1083031017
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy126800000X Dental Assistant
Enumeration Date2014-03-27
Last Update Date2014-03-27
Business Address
-- JUAN MONCADA LULE
2717 WILLOWBROOK AVE
PALMDALE, CA 93551-1509
Phone number: 310-923-1873
Mailing Address
-- JUAN MONCADA LULE
2717 WILLOWBROOK AVE
PALMDALE, CA 93551-1509
Phone number: 310-923-1873