Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | DS037954 | PA |
NPI | 1003147208 |
---|---|
Provider Name | Dr. Natalie Elizabeth Monaco |
First Address | Connellsville, PA 15425-3209 |
Second Address | Connellsville, PA 15425-3209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2010 |
Last Update Date | 28/01/2010 |