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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 last year

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 1609494137 NPPES
Florida Other DN25173 LICENSE NUMBER

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