Individual
DR. ERIN MAILLE MONTANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
802 US HIGHWAY 491, GALLUP, NM 87301-5388
(505) 862-5018
Mailing address
1506 DIAMOND CIR, GALLUP, NM 87301-4900
(314) 409-4009
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD3697
NM
Other
Enumeration date
06/29/2012
Last updated
03/26/2019
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