Provider Demographics
NPI:1871685818
Name:HLAVACEK, MONICA T (DDS)
Entity type:Individual
Prefix:DR
First Name:MONICA
Middle Name:T
Last Name:HLAVACEK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 CAMINO EL ESTERO
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-2904
Mailing Address - Country:US
Mailing Address - Phone:831-333-1752
Mailing Address - Fax:
Practice Address - Street 1:550 CAMINO EL ESTERO
Practice Address - Street 2:SUITE 200
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-2904
Practice Address - Country:US
Practice Address - Phone:831-333-1752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44694122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist