DR. Edmund Warren Montgomery III, D.D.S.

NPI #1174651103 in Brandon, Mississippi

Provider Information

NPI Number
1174651103
Entity Type
Individual
Name
DR. Edmund Warren Montgomery III, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Mar 1, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1921 SPILLWAY RD
ZIP Code
39047-6021
Phone
(601) 992-9379

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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