Provider Demographics
NPI:1134299324
Name:ABUSLEME, MONICA DEL PILAR (DDS)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:DEL PILAR
Last Name:ABUSLEME
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14621 NORDHOFF ST
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402
Mailing Address - Country:US
Mailing Address - Phone:818-891-1761
Mailing Address - Fax:818-891-4061
Practice Address - Street 1:14621 NORDHOFF ST
Practice Address - Street 2:SUITE 1A
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402
Practice Address - Country:US
Practice Address - Phone:818-891-1761
Practice Address - Fax:818-891-4061
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25317122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist