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Organization
NIVALDO MONTES DDS SC
Active
Organization
NIVALDO MONTES DDS SC
Active
Other names
Nivaldo Montes DDS
Organization subpart
No
Provider details
NPI number
Authorized official
NIVALDO MONTES (OWNER)
(312) 236-3226
Entity
Organization
Contact information
Practice address
25 E WASHINGTON ST STE 1721, CHICAGO, IL 60602-1899
(312) 236-3226
(312) 236-9629
Mailing address
25 E WASHINGTON ST STE 1721, CHICAGO, IL 60602-1899
(312) 236-3226
(312) 236-9629
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.022915
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007716118
AETNA
—
Enumeration date
10/19/2012
Last updated
10/30/2023
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