Mauricio Samuel Montenegro SR. DDS

NPI 1467656108 - Dentist - 1223G0001X

NPI Details
NPI 1467656108
Gender Male
Enumeration Date 06/14/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
9000 S. W. 137 AVE. BLDG. 1 SUITE 205 SUITE 205
SUITE 205
MIAMI FL, 33186, US
Phone (305) 386-4663
Fax (305) 382-5978
Business Location
9000 S. W. 137 AVE. BLDG. 1 SUITE 205
MIAMI FL, 33186, US
Phone (305) 386-4663
Fax (305) 382-5978
Toxanomy
Taxonomy Code 1223G0001X
License State Florida
License Number DN OO12182
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According to our database, Dr. Mauricio Samuel Montenegro SR. DDS NPI is 1467656108, taxonomy code is 1223G0001X and license number is DN OO12182, license state is located at Florida. Mauricio Samuel Montenegro SR. DDS physically located at 9000 S. W. 137 Ave. Bldg. 1 Suite 205 Suite 205, Miami FL, 33186. NPI Number Mauricio Samuel Montenegro SR. DDS has the Individual type.

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1467656108 NPI number is provided on an as is basis without warranty of any kind. 1467656108 is maintained by the National Plan & Provider Enumeration System. The contents of Mauricio Samuel Montenegro SR. DDS are for informational purposes only.