Doctor Name: | DR. LIZANIA MONTERO |
NPI Number: | 1710326434 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DMD |
License Number: | 28823 |
Business Practice Address: | 11300 Hwy 290 E Suite 200 Manor, TX - 78653 |
Business Phone Number: | 5127656649 |
Business Fax Number: | |
Mailing Address: | 11300 Hwy 290 East, Building 2, Suite 200 MANOR |
State: | TX |
Postal Code: | 78653 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/15/2013 |
NPI Last Update Date: | 04/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 28823 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |