Organization
SUTHERLIN DENTAL
Active
Other names
Monte' E. Montgomery DDS, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONTE' ERELL MONTGOMERY D.D.S. (PRESIDENT)
(541) 459-4612
Entity
Organization
Contact information
Practice address
115 N STATE ST, SUTHERLIN, OR 97479-9807
(541) 459-4612
(541) 459-4911
Mailing address
PO BOX 719, SUTHERLIN, OR 97479-0719
(541) 459-4612
(541) 459-4911
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D6919
OR
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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