Provider Demographics
NPI:1376368357
Name:ALMONT DENTAL GROUP LLC
Entity type:Organization
Organization Name:ALMONT DENTAL GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:ENRIQUE
Authorized Official - Last Name:ALVAREZ MONTERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-334-8979
Mailing Address - Street 1:1552 W WARM SPRINGS RD STE 100
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-4328
Mailing Address - Country:US
Mailing Address - Phone:702-515-9917
Mailing Address - Fax:
Practice Address - Street 1:1552 W WARM SPRINGS RD STE 100
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-4328
Practice Address - Country:US
Practice Address - Phone:702-515-9917
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty