Provider Demographics
NPI:1144474859
Name:MONTES-SABINO, ANGELICA (DDS)
Entity type:Individual
Prefix:DR
First Name:ANGELICA
Middle Name:
Last Name:MONTES-SABINO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6010 BAYWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-4244
Mailing Address - Country:US
Mailing Address - Phone:770-310-0808
Mailing Address - Fax:
Practice Address - Street 1:997 WINDY HILL RD SE
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-2045
Practice Address - Country:US
Practice Address - Phone:770-405-8707
Practice Address - Fax:770-405-8709
Is Sole Proprietor?:No
Enumeration Date:2008-11-07
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0116751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice