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Organization
MICHAEL MONTGOMEY
Active
Organization
MICHAEL MONTGOMEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MONETGOMERY DDS (OWNER)
(310) 821-0992
Entity
Organization
Contact information
Practice address
8055 W MANCHESTER AVE, SUITE 500, PLAYA DEL REY, CA 90293-7960
(310) 821-0992
Mailing address
8055 W MANCHESTER AVE, SUITE 500, PLAYA DEL REY, CA 90293-7960
(310) 821-0992
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29383
CA
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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