| Mp Montaleone Dds Ltd | |
|
4312 E State St Rockford IL 61108 | |
| (815) 398-7331 | |
| (815) 398-7333 |
| Full Name | Mp Montaleone Dds Ltd |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4312 E State St, Rockford, Illinois |
| Authorized Official Name and Position | Michael Peter Montaleone (PRESIDENT) |
| Authorized Official Contact | 8153987331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mp Montaleone Dds Ltd 4312 E State St Rockford IL 61108 Ph: (815) 398-7331 | Mp Montaleone Dds Ltd 4312 E State St Rockford IL 61108 Ph: (815) 398-7331 |
| NPI Number | 1215099114 |
|---|---|
| Provider Enumeration Date | 12/15/2006 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215099114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 021000451 (Illinois) | Primary |
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