Provider Demographics
NPI:1831285733
Name:VOREIS, MONICA CANTU (DDS)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:CANTU
Last Name:VOREIS
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 1:503 W OCEAN BLVD
Mailing Address - Street 2:SUITE F
Mailing Address - City:LOS FRESNOS
Mailing Address - State:TX
Mailing Address - Zip Code:78566-3635
Mailing Address - Country:US
Mailing Address - Phone:956-233-5100
Mailing Address - Fax:956-233-5122
Practice Address - Street 1:503 W OCEAN BLVD
Practice Address - Street 2:SUITE F
Practice Address - City:LOS FRESNOS
Practice Address - State:TX
Practice Address - Zip Code:78566-3635
Practice Address - Country:US
Practice Address - Phone:956-233-5100
Practice Address - Fax:956-233-5122
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ65961223G0001X
TX211221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice