Deer Park Dental Pllc

NPI #1417572892 in Deer Park, Washington

Provider Information

NPI Number: 1417572892
Entity Type: Organization
Organization Name: Deer Park Dental Pllc
Primary Specialty: Dentist
Enumeration Date: Jun 11, 2020
Last Updated: Oct 21, 2020

Practice Location

Address: 118 E. CRAWFORD ST.
City: Deer Park
State: Washington
ZIP Code: 99006
Phone: (509) 850-8061

Authorized Official

Name: DR. SANDY FLETCHER MONTANO, DDS
Title: OWNER
Phone: (786) 955-7284

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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