Organization
MONTICELLO DENTISTRY PLLC
Active
Other names
Monticello Dentistry PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WARREN JOSEPH THIRY DMD (PRESIDENT / DENTIST)
(850) 997-2485
Entity
Organization
Contact information
Practice address
1535 W WASHINGTON ST, MONTICELLO, FL 32344-1133
(850) 997-2485
(850) 997-3783
Mailing address
1535 W WASHINGTON ST, MONTICELLO, FL 32344-1133
(850) 997-2485
(850) 997-3783
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN18939
FL
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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