Individual
MICHAEL J MONTALBANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
429 E AIRPORT AVE, SUITE 3, BATON ROUGE, LA 70806-4832
(225) 925-2118
Mailing address
429 E AIRPORT AVE, SUITE 3, BATON ROUGE, LA 70806-4832
(225) 925-2118
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3183
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831832
—
LA
Enumeration date
08/30/2006
Last updated
07/08/2007
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