| Jose Montero Dds Pa | |
|
8940 N Kendall Dr Ste 604e Miami FL 33176-2175 | |
| (305) 595-1905 | |
| Not Available |
| Full Name | Jose Montero Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 8940 N Kendall Dr Ste 604e, Miami, Florida |
| Authorized Official Name and Position | Jose Montero (OWNER) |
| Authorized Official Contact | 3055951905 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Montero Dds Pa 8940 N Kendall Dr Ste 604e Miami FL 33176-2175 Ph: (305) 595-1905 | Jose Montero Dds Pa 8940 N Kendall Dr Ste 604e Miami FL 33176-2175 Ph: (305) 595-1905 |
| NPI Number | 1932692035 |
|---|---|
| Provider Enumeration Date | 06/13/2018 |
| Last Update Date | 06/13/2018 |
| Medicare PECOS PAC ID | 5294072781 |
|---|---|
| Medicare Enrollment ID | O20190122002061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932692035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Jose Montero |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1356609226 PECOS PAC ID: 9931446325 Enrollment ID: I20190123002160 |
| Provider Name | Andre Christian Ledoux |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1407161714 PECOS PAC ID: 9739453127 Enrollment ID: I20240916003111 |
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