Healthcare Provider Details

I. General information

NPI: 1598849853
Provider Name (Legal Business Name): FRANCISCA MONTERO DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 02/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

237 E INTERNATIONAL SPEEDWAY BLVD SUITE B
DELAND FL
32724-2339
US

IV. Provider business mailing address

327 EAST 8TH STREET APT #5B
NEW YORK NY
10009
US

V. Phone/Fax

Practice location:
  • Phone: 386-943-9990
  • Fax: 386-943-8988
Mailing address:
  • Phone: 212-777-1969
  • Fax: 212-777-3158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN17820
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: