Provider Demographics
NPI:1760245492
Name:MONIKA DUCHARME,LLC
Entity Type:Organization
Organization Name:MONIKA DUCHARME,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MONKIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUCHARME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-868-6618
Mailing Address - Street 1:603 VILLAGE BLVD STE 304
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-1973
Mailing Address - Country:US
Mailing Address - Phone:561-868-6618
Mailing Address - Fax:
Practice Address - Street 1:603 VILLAGE BLVD STE 304
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-1973
Practice Address - Country:US
Practice Address - Phone:561-868-6618
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WEST PALM BEACH ORAL AND MAXILLOFACIAL SURGERY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty