Organization
ORTHODONTIC CARE GROUP
Active
Other names
Orthodontic Care Specialists Ltd
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY JAMES MONTGOMERY DDS (PRESIDENT)
(952) 432-1103
Entity
Organization
Contact information
Practice address
14605 GLAZIER AVE. S., APPLE VALLEY, MN 55124
(952) 432-1103
(952) 891-8678
Mailing address
14605 GLAZIER AVE S, APPLE VALLEY, MN 55124
(952) 432-1103
(952) 891-8678
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/16/2006
Last updated
07/08/2008
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