Provider Demographics
NPI:1720128424
Name:MONTANO, HALINA SWIATKOWSKI (DDS)
Entity Type:Individual
Prefix:DR
First Name:HALINA
Middle Name:SWIATKOWSKI
Last Name:MONTANO
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 1:21267 BELLECHASSE CT
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-7472
Mailing Address - Country:US
Mailing Address - Phone:561-487-3212
Mailing Address - Fax:561-477-1002
Practice Address - Street 1:9045 LA FONTANA BLVD
Practice Address - Street 2:105
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-5636
Practice Address - Country:US
Practice Address - Phone:561-488-1688
Practice Address - Fax:561-477-1002
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN14113122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist