Organization
HERO DENTAL OF LANDOVER HILLS PC - RONALD B MONTANO DDS
Active
Other names
Adventure Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN URBANOZO (CREDENTIALING MANAGER)
(719) 323-2362
Entity
Organization
Contact information
Practice address
6725 ANNAPOLIS RD, LANDOVER HILLS, MD 20784-1904
(301) 773-4746
(301) 773-4941
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 955-8896
(719) 955-3470
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048652300
—
MD
Enumeration date
06/01/2011
Last updated
11/19/2020
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