Provider Demographics
NPI:1831321066
Name:FARIAS, MONICA PATRICIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:PATRICIA
Last Name:FARIAS
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 1:103 S US HIGHWAY 1 STE D4
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-5101
Mailing Address - Country:US
Mailing Address - Phone:561-746-2646
Mailing Address - Fax:
Practice Address - Street 1:103 S US HIGHWAY 1 STE D4
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-5101
Practice Address - Country:US
Practice Address - Phone:561-746-2646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-21
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN0128371223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health