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Organization
RIDDLE MONTGOMERY METHENY DDS INC
Active
Organization
RIDDLE MONTGOMERY METHENY DDS INC
Active
Other names
Family Dental Practice Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A MONTGOMERY DDS (DENTIST MANAGER SECRETARY)
(304) 636-1100
Entity
Organization
Contact information
Practice address
108 THIRD ST, ELKINS, WV 26241
(304) 636-1100
(304) 636-0066
Mailing address
108 THIRD ST, ELKINS, WV 26241
(304) 636-1100
(304) 636-0066
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
W3576
WV
122300000X
Dentist
WV2192
WV
122300000X
Dentist
Primary
WV2960
WV
122300000X
Dentist
WV3367
WV
Other
Enumeration date
12/26/2006
Last updated
08/22/2020
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