Individual
MONICA L MARTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10 TAYLOR LN, MONTROSE, PA 18801-6702
(570) 278-8785
(570) 278-8786
Mailing address
10 TAYLOR LN, MONTROSE, PA 18801-6702
(570) 278-8785
(570) 278-8786
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS030419L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019153660003
—
PA
01
—
167250
UNISON
PA
01
—
1744613
UNITED CONCORDIA
PA
Enumeration date
11/28/2006
Last updated
05/13/2025
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