Monticello Dentistry Pllc
NPI #1316431455 in Monticello, Florida
Provider Information
- NPI Number
- 1316431455
- Entity Type
- Organization
- Organization Name
- Monticello Dentistry Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 21, 2018
- Last Updated
- Jun 21, 2018
Practice Location
- Address
- 1535 W WASHINGTON ST
- City
- Monticello
- State
- Florida
- ZIP Code
- 32344-1133
- Phone
- (850) 997-2485
Authorized Official
- Name
- DR. WARREN JOSEPH THIRY, DMD
- Title
- PRESIDENT / DENTIST
- Phone
- (850) 997-2485
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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