Organization
PHILLIP MONTOYA, DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP MATTHEW MONTOYA DDS (DENTIST)
(573) 247-3040
Entity
Organization
Contact information
Practice address
4951 NE GOODVIEW CIR STE C, LEES SUMMIT, MO 64064-1999
(816) 373-5574
Mailing address
4951 NE GOODVIEW CIR STE C, LEES SUMMIT, MO 64064-1999
(816) 373-5574
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2014041731
MO
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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