Individual
DR. JOHN F MONTICELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
1750 GRAND RIDGE CT NE, SUITE 300, GRAND RAPIDS, MI 49525
(616) 364-1700
(616) 364-6890
Mailing address
1750 GRAND RIDGE CT NE, SUITE 300, GRAND RAPIDS, MI 49525
(616) 364-1700
(616) 364-6890
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901012951
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN9886
FL
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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