Individual
DR. DEBORAH ANN MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11076 S. LONGWOOD DR., CHICAGO, IL 60643
(773) 239-7258
(773) 239-7259
Mailing address
11076 S. LONGWOOD DR., CHICAGO, IL 60643
(773) 239-7258
(773) 239-7259
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-022902
IL
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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