Provider Demographics
NPI:1386784619
Name:MONTI AND HILLYARD A DENTAL PARTNERSHIP
Entity type:Organization
Organization Name:MONTI AND HILLYARD A DENTAL PARTNERSHIP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:KIMBERLY
Authorized Official - Last Name:MONTI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:661-251-0200
Mailing Address - Street 1:18580 VIA PRINCESSA
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91387-8328
Mailing Address - Country:US
Mailing Address - Phone:661-251-0200
Mailing Address - Fax:661-251-4581
Practice Address - Street 1:18580 VIA PRINCESSA
Practice Address - Street 2:SUITE 3
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91387-8328
Practice Address - Country:US
Practice Address - Phone:661-251-0200
Practice Address - Fax:661-251-4581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty