Monticello Dentistry Pllc
NPI #1255899928 in Monticello, Minnesota
Provider Information
- NPI Number
- 1255899928
- Entity Type
- Organization
- Organization Name
- Monticello Dentistry Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 12, 2019
- Last Updated
- Mar 12, 2019
Practice Location
- Address
- 9281 CEDAR ST
- City
- Monticello
- State
- Minnesota
- ZIP Code
- 55362-4507
- Phone
- (612) 361-5436
Authorized Official
- Name
- HASSAN ISMAIL
- Title
- OWNER
- Phone
- (612) 361-5436
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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