Individual
DR. JENNA SIMONNE MONTMINY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9920 COULOAK DR, #100, CHARLOTTE, NC 28216
(704) 608-7897
Mailing address
9920 COULOAK DR, #100, CHARLOTTE, NC 28216
(704) 355-8856
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11048
NC
122300000X
Dentist
82194001
NC
Other
Enumeration date
04/02/2018
Last updated
07/03/2019
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