Provider Demographics
NPI:1518038470
Name:MUNGCAL, ADONIS RAMOS (DDS)
Entity Type:Individual
Prefix:DR
First Name:ADONIS
Middle Name:RAMOS
Last Name:MUNGCAL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 SOUTH GRAND AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90012
Mailing Address - Country:US
Mailing Address - Phone:213-620-5777
Mailing Address - Fax:213-620-8963
Practice Address - Street 1:255 SO GRAND AVE
Practice Address - Street 2:SUITE #204
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90012
Practice Address - Country:US
Practice Address - Phone:213-620-5777
Practice Address - Fax:213-620-8963
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38566122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist