Provider Demographics
NPI:1114611662
Name:HOCHBERG, MONICA (DMD)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:HOCHBERG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6603 N MINNEHAHA AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-3023
Mailing Address - Country:US
Mailing Address - Phone:312-719-3229
Mailing Address - Fax:
Practice Address - Street 1:10650 GARDEN DR UNIT 106
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-7019
Practice Address - Country:US
Practice Address - Phone:510-030-3366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00205621122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist