Montero, Sandorf
Montero, Sandorf is an individual health care provider with primary practice located at 11300 Nw 87Th Ct Ste 166 , Hialeah Gardens FL 33018-4521. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Montero, Sandorf can be contacted via phone (786) 702-5643.Contact Information
Primary practice address
11300 Nw 87Th Ct Ste 166
Hialeah Gardens FL 33018-4521
Phone: (786) 702-5643
Fax: (305) 364-0983
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DN25173 | Florida |
| Dental Providers / Dentist | 122300000X | DN25173 | Florida |
Profile Details
| NPI number | 1609494137 |
|---|---|
| LBN Legal business name | Montero, Sandorf |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2020 |
| Last updated | Sep 5th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609494137 | NPPES |
| Florida | Other | DN25173 | LICENSE NUMBER |
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