| Vincent J Monticciolo | |
|
4530 Grand Blvd New Port Richey FL 34652-5119 | |
| (727) 849-4246 | |
| Not Available |
| Full Name | Vincent J Monticciolo |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4530 Grand Blvd, New Port Richey, Florida |
| Authorized Official Name and Position | Vincent J Monticciolo (OWENER) |
| Authorized Official Contact | 7278494246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vincent J Monticciolo 4530 Grand Blvd New Port Richey FL 34652-5119 Ph: (727) 849-4246 | Vincent J Monticciolo 4530 Grand Blvd New Port Richey FL 34652-5119 Ph: (727) 849-4246 |
| NPI Number | 1760658413 |
|---|---|
| Provider Enumeration Date | 05/02/2008 |
| Last Update Date | 05/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760658413 | NPI | - | NPPES |
| 36771 | Other | FL | BLUE CROSS BLUE SCHEILD |
| 1-BO47 N | Other | FL | DENTI MAX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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