Provider Demographics
NPI:1285271494
Name:FIGUEIREDO PENALVA MONTEIRO, MARIA RACHEL (DDS)
Entity type:Individual
Prefix:MRS
First Name:MARIA RACHEL
Middle Name:
Last Name:FIGUEIREDO PENALVA MONTEIRO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:MARIA RACHEL
Other - Middle Name:
Other - Last Name:FIGUEIREDO PENALVA MONTEIRO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:1 KNEELAND ST
Mailing Address - Street 2:FLOOR 11
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111
Mailing Address - Country:US
Mailing Address - Phone:617-636-0925
Mailing Address - Fax:
Practice Address - Street 1:1 KNEELAND ST FLOOR 11
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1527
Practice Address - Country:US
Practice Address - Phone:617-636-6828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-06
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADF116811223E0200X
MADF120441223E0200X
MADF115911223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics