Organization
MONTGOMERY FAMILY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SETH HUIRAS D.D.S. (MANAGING MEMBER)
(507) 364-8001
Entity
Organization
Contact information
Practice address
110 1ST ST N, MONTGOMERY, MN 56069-1514
(507) 364-8001
Mailing address
110 1ST ST N, MONTGOMERY, MN 56069-1514
(507) 364-8001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13630
MN
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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