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Organization

MP MONTALEONE DDS LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL PETER MONTALEONE DDS (PRESIDENT)
(815) 398-7331
Entity
Organization

Contact information

Practice address
4312 E STATE ST, ROCKFORD, IL 61108
(815) 398-7331
(815) 398-7333
Mailing address
4312 E STATE ST, ROCKFORD, IL 61108
(815) 398-7331
(815) 398-7333

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021000451
IL

Other

Enumeration date
12/15/2006
Last updated
06/17/2008
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