Provider Demographics
NPI:1992409585
Name:SANCHEZ MONTERO, DARAI BARBARA (DMD)
Entity type:Individual
Prefix:DR
First Name:DARAI
Middle Name:BARBARA
Last Name:SANCHEZ MONTERO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 ROMA CT APT 3208
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-6467
Mailing Address - Country:US
Mailing Address - Phone:239-692-4304
Mailing Address - Fax:
Practice Address - Street 1:4380 THOMASSON DR
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34112-6725
Practice Address - Country:US
Practice Address - Phone:239-963-4754
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-28
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLDN278731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program