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General NPI Number Information
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NPI Number | 1326787888
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Entity Type | Organization
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Legal Business Name | MONETTE DENTISTRY
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Dates
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Enumeration Date | 06/02/2022
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Last Update Date | 03/29/2023
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Provider Practice Location Address
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Address Line | 6739 COURTLAND DR NE STE 103
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City | ROCKFORD
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State | MI
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Zip | 49341-7217
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Country | US
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Telephone | 616-389-0883
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Fax | 855-201-3492
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Provider Business Mailing Address
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Address Line | 6739 COURTLAND DR NE STE 103
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City | ROCKFORD
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State | MI
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Zip | 49341-7217
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Country | US
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Telephone | 616-389-0883
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Fax | 855-201-3492
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Authorized Official
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Title or Position | OWNER
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Name | DR. NATALIE MONETTE
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Credential | DDS
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Telephone | 616-884-4100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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