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Organization
MARK N. MONTGOMERY, D.D.S., INC.
Active
Organization
MARK N. MONTGOMERY, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK N. MONTGOMERY D.D.S. (PRESIDENT)
(949) 493-3333
Entity
Organization
Contact information
Practice address
32241 CROWN VALLEY PKWY, SUITE 240, MONARCH BEACH, CA 92629-3346
(949) 493-3333
(949) 493-2057
Mailing address
32241 CROWN VALLEY PKWY, SUITE 240, MONARCH BEACH, CA 92629-3346
(949) 493-3333
(949) 493-2057
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31673
CA
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
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