Provider Demographics
NPI:1992513691
Name:MONTEMAGNI, VERONICA (RDH)
Entity type:Individual
Prefix:MISS
First Name:VERONICA
Middle Name:
Last Name:MONTEMAGNI
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:
Other - Last Name:MONTEMAGNI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH, RDA
Mailing Address - Street 1:7154 TRINITY ST
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92336-2924
Mailing Address - Country:US
Mailing Address - Phone:909-215-6727
Mailing Address - Fax:
Practice Address - Street 1:4371 LATHAM ST
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92501-1706
Practice Address - Country:US
Practice Address - Phone:833-867-4642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARDH23035124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist