Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | DN 22035 | FL |
NPI | 1003268525 |
---|---|
Provider Name | Dr. Denis Monzin |
First Address | Lakewood Ranch, FL 34202-8237 |
Second Address | Bradenton, FL 34202-3785 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2016 |
Last Update Date | 08/07/2016 |