Individual
ANDREW MONTALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MSD
Contact information
Practice address
12375 W AUBURN DR, LAKEWOOD, CO 80228-4747
(832) 515-0493
Mailing address
12375 W AUBURN DR, LAKEWOOD, CO 80228-4747
(970) 406-0539
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00203565
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DEN.00203565
CO
Other
Enumeration date
06/21/2018
Last updated
02/09/2026
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