Provider Demographics
NPI:1598849853
Name:MONTERO, FRANCISCA (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCA
Middle Name:
Last Name:MONTERO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 EAST 8TH STREET
Mailing Address - Street 2:APT #5B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009
Mailing Address - Country:US
Mailing Address - Phone:212-777-1969
Mailing Address - Fax:212-777-3158
Practice Address - Street 1:237 E INTERNATIONAL SPEEDWAY BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32724-2339
Practice Address - Country:US
Practice Address - Phone:386-943-9990
Practice Address - Fax:386-943-8988
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN178201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01823321Medicaid