Individual
DR. MAKSIM MONTATSKIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5439 DURAND AVE STE 210, MOUNT PLEASANT, WI 53406-5058
(262) 583-0070
Mailing address
1331 BRANDYWYN LN, BUFFALO GROVE, IL 60089-1105
(312) 375-8622
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.030546
IL
122300000X
Dentist
Primary
1001127-15
WI
1223E0200X
Endodontics
021.003011
IL
Other
Enumeration date
06/05/2015
Last updated
10/28/2021
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