Provider Demographics
NPI:1033952080
Name:MONTIEL MORALES, SABRINA CRISTINA (DMD)
Entity type:Individual
Prefix:DR
First Name:SABRINA
Middle Name:CRISTINA
Last Name:MONTIEL MORALES
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 1:2146 PASA VERDE LN
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33327-2201
Mailing Address - Country:US
Mailing Address - Phone:770-624-0550
Mailing Address - Fax:
Practice Address - Street 1:473 ALFRED ST
Practice Address - Street 2:
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005-9465
Practice Address - Country:US
Practice Address - Phone:207-283-3775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDEN5156122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist