| Montero Dental Center | |
|
568 Hialeah Dr Hialeah FL 33010-5349 | |
| (305) 863-8995 | |
| (305) 863-8945 |
| Full Name | Montero Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 568 Hialeah Dr, Hialeah, Florida |
| Authorized Official Name and Position | Alexander Montero (PRESIDENT) |
| Authorized Official Contact | 3056838995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montero Dental Center 568 Hialeah Dr Hialeah FL 33010-5349 Ph: (305) 863-8995 | Montero Dental Center 568 Hialeah Dr Hialeah FL 33010-5349 Ph: (305) 863-8995 |
| NPI Number | 1093122343 |
|---|---|
| Provider Enumeration Date | 07/18/2014 |
| Last Update Date | 07/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093122343 | NPI | - | NPPES |
| 071890403 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN14128 (Florida) | Secondary |
| 1223G0001X | Dentist - General Practice | DN15053 (Florida) | Primary |
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