DR. Monte' Erell Montgomery, DDS

NPI #1164572665 in Sutherlin, Oregon

Provider Information

NPI Number: 1164572665
Entity Type: Individual
Name: DR. Monte' Erell Montgomery, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jan 10, 2007
Last Updated: Feb 9, 2016

Practice Location

Address: 115 N. STATE ST.
City: Sutherlin
State: Oregon
ZIP Code: 97479-0719
Phone: (541) 459-4612

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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