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Dr. Fausto R Moncada, DDS
Periodontist in South San Francisco, California
NPI 1790809218

Fausto R Moncada is a Periodontist based in South San Francisco, CA and is specialized in Periodontics. Fausto R Moncada practices in South San Francisco, CA and has the professional credentials of DDS. The NPI Number for Fausto R Moncada is 1790809218 and holds a License No. 33812 (California).

The current practice location address for Fausto R Moncada is 2400 Westborough Blvd, South San Francisco, CA and can be reached out via phone at 650-588-0288 and via fax at 650-588-0584.

Location: 2400 Westborough Blvd, South San Francisco, CA, 94080-5404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790809218
Provider Name
Fausto R Moncada
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2400 Westborough Blvd, South San Francisco, CA, 94080-5404
Phone Number
650-588-0288
Fax Number
650-588-0584
Provider Enumeration Date
03/19/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2400 Westborough Blvd
City
South San Francisco
State
California
Zip
94080-5404
Phone Number
650-588-0288
Fax Number
650-588-0584
person
Provider Business Mailing Address Details
Address
2400 Westborough Blvd
City
South San Francisco
State
California
Zip
94080-5404
Phone Number
650-588-0288
Fax Number
650-588-0584
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
33812 (California)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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