Individual
DR. RONALD R. MONTANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
310 MAIN STREET, EAST HAVEN, CT 06512
(203) 469-8057
(203) 469-8058
Mailing address
310 MAIN STREET, EAST HAVEN, CT 06512
(203) 469-8057
(203) 469-8058
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4184
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190001014
HOSPITAL OF SAINT RAPHAEL MEDICARE PIN
CT
Enumeration date
10/02/2006
Last updated
07/14/2008
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