Provider Demographics
NPI:1730467341
Name:MONASH, KAITLIN ANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:KAITLIN
Middle Name:ANN
Last Name:MONASH
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 1:4720 STONEHILL LN
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-9374
Mailing Address - Country:US
Mailing Address - Phone:734-646-4148
Mailing Address - Fax:
Practice Address - Street 1:112 W GRAND RIVER AVE
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-2268
Practice Address - Country:US
Practice Address - Phone:517-546-8983
Practice Address - Fax:517-546-1422
Is Sole Proprietor?:No
Enumeration Date:2011-07-31
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901020338122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist