Individual
DR. RICHARD JOHN MONTANDON
Active
Individual
DR. RICHARD JOHN MONTANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE60688067
WA
1223D0004X
Dental Anesthesiology
DS039119
PA
1223D0004X
Dental Anesthesiology
Primary
GA60690773
WA
Other
Enumeration date
06/29/2009
Last updated
05/25/2021
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