Individual
NICHOLE MONTALBANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
66 W MAIN ST, BRONSON, FL 32621-6338
(352) 486-5300
Mailing address
66 W MAIN ST, BRONSON, FL 32621-6338
(352) 486-5300
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH19028
FL
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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