Organization
JUDITH MONTERREY DDS LLC
Active
Other names
Creative Toothwork
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH MONTERREY DDS (PRESIDENT)
(305) 386-4663
Entity
Organization
Contact information
Practice address
9000 SW 137TH AVE, SUITE 205, MIAMI, FL 33186-1411
(305) 386-4663
Mailing address
9000 SW 137TH AVE, SUITE 205, MIAMI, FL 33186-1411
(305) 386-4663
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN19838
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013341600
—
FL
Enumeration date
03/13/2015
Last updated
03/13/2015
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