Individual
BRUNO MONTEIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 DUDLEY ST, ROXBURY, MA 02119-2769
(617) 989-9499
Mailing address
1 ABBOTSFORD ST, APT. #3, BOSTON, MA 02121-1409
(617) 820-0326
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
097615
BLUE SHIELD
MA
Enumeration date
09/07/2012
Last updated
09/07/2012
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