Montalvo, Margarita

Montalvo, Margarita is an sole proprietor health care provider with primary practice located at 886 Main St Suite 2, Willimantic CT 06226-2340. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Montalvo, Margarita can be contacted via phone (860) 456-1333.

Contact Information

Primary practice address
886 Main St Suite 2 Willimantic CT 06226-2340
Fax: (860) 450-1297
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 009090 Connecticut

Profile Details

NPI number 1013055888
LBN Legal business name Montalvo, Margarita
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2007
Last updated Feb 13th, 2013 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013055888 NPPES
Connecticut MEDICAID 002090900

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