Individual
DR. MONICA MARIE MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1739 MAIN ST, LONGMONT, CO 80501-2035
(303) 834-6400
(303) 834-6414
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 576-1850
(719) 955-3470
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN00203670
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00203670
CO LICENSE
CO
01
—
139860271
ADA #
CO
05
—
1700372885
—
CO
Enumeration date
07/02/2018
Last updated
06/12/2019
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