| Monticello Dentistry Pllc | |
|
9281 Cedar St Monticello MN 55362-4507 | |
| (612) 361-5436 | |
| Not Available |
| Full Name | Monticello Dentistry Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9281 Cedar St, Monticello, Minnesota |
| Authorized Official Name and Position | Hassan Ismail (OWNER) |
| Authorized Official Contact | 6123615436 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monticello Dentistry Pllc Po Box 3189 Syracuse NY 13220-3189 Ph: () - | Monticello Dentistry Pllc 9281 Cedar St Monticello MN 55362-4507 Ph: (612) 361-5436 |
| NPI Number | 1255899928 |
|---|---|
| Provider Enumeration Date | 03/12/2019 |
| Last Update Date | 03/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255899928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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