Individual
DR. ALFONSO GERARDO MONTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
420 WASHINGTON ST, SUITE# 101, BRAINTREE, MA 02184-4755
(781) 848-2422
(781) 848-9922
Mailing address
230 AUSTIN ST, WEST NEWTON, MA 02465-2501
(617) 630-1954
(617) 969-7827
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18364
MA
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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