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Organization

DAVID J MONTGOMERY DDS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID JENSEN MONTGOMERY DDS (PRESIDENT)
(831) 688-6060
Entity
Organization

Contact information

Practice address
783 RIO DEL MAR BLVD, APTOS, CA 95003-4771
(831) 688-6060
Mailing address
783 RIO DEL MAR BLVD, APTOS, CA 95003
(831) 688-6060

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31114
CA

Other

Enumeration date
10/10/2006
Last updated
07/16/2008
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