Monticello Dental Group

NPI #1942481593 in Big Lake, Minnesota

Provider Information

NPI Number: 1942481593
Entity Type: Organization
Organization Name: Monticello Dental Group
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 23, 2007
Last Updated: Nov 23, 2007

Practice Location

Address: 20460 CO. RD.11 NW
City: Big Lake
State: Minnesota
ZIP Code: 55309
Phone: (763) 263-7100

Authorized Official

Name: DR. JOSEPH DEAN CALPAS, D.D.S.
Title: OWNER
Phone: (763) 263-7100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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