Organization
MONTANO DDS DENTAL CENTER PC
Active
Other names
Adventure Dental, Vision and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN URBANOZO (CREDENTIALING MANAGER)
(719) 323-2362
Entity
Organization
Contact information
Practice address
5632 THE ALAMEDA, BALTIMORE, MD 21239-2737
(410) 435-0008
(410) 435-0444
Mailing address
2221 E BIJOU ST, STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 955-8896
(719) 955-3470
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
MD
122300000X
Dentist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013397644
—
MD
Enumeration date
03/12/2009
Last updated
11/19/2020
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