Individual
CRISTOFFER RENE MONTENEGRO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 S STATE ROAD 7, MARGATE, FL 33068-5703
(954) 520-7096
Mailing address
350 S STATE ROAD 7, MARGATE, FL 33068-5703
(954) 520-7096
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN29474
FL
390200000X
Student in an Organized Health Care Education/Training Program
2428
FL
Other
Enumeration date
05/03/2022
Last updated
10/25/2024
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