NPI 1023417805

Grace Marie Montano-Sandoval, RDH

Practitioner Dental Hygienist Troy, MI

Practice location

Address: 38865 Dequindre Rd Suite 105, Troy, MI 48083-6812
Phone: (248) 879-7755

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 2902006819 (MI)

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Registry record

NPI: 1023417805
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Aug 2014
Record last updated: 18 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.