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Individual
SANDORF MONTERO
Active
Individual
SANDORF MONTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN25173
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN25173
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN25173
LICENSE NUMBER
FL
Enumeration date
07/10/2020
Last updated
09/05/2023
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