Provider Demographics
NPI:1861571606
Name:LUZ E MONTOYA NINO DDS PA
Entity type:Organization
Organization Name:LUZ E MONTOYA NINO DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LUZ
Authorized Official - Middle Name:ELVIRA
Authorized Official - Last Name:MONTOYA NINO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-572-5005
Mailing Address - Street 1:4151 SW FREEWAY
Mailing Address - Street 2:SUITE 205
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027
Mailing Address - Country:US
Mailing Address - Phone:713-572-5005
Mailing Address - Fax:713-572-3722
Practice Address - Street 1:4151 SW FREEWAY
Practice Address - Street 2:SUITE 205
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027
Practice Address - Country:US
Practice Address - Phone:713-572-5005
Practice Address - Fax:713-572-3722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty