Individual
REBECCA MONTICELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
1750 GRAND RIDGE CT NE STE 300, GRAND RAPIDS, MI 49525-7043
(616) 364-1700
Mailing address
1750 GRAND RIDGE CT NE STE 300, GRAND RAPIDS, MI 49525-7043
(616) 364-1700
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901600173
MI
Other
Enumeration date
05/13/2019
Last updated
02/14/2023
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