Individual
DREW MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDA
Contact information
Practice address
7430 80TH ST S STE 202, COTTAGE GROVE, MN 55016-3041
(651) 459-6884
Mailing address
9820 78TH ST S, COTTAGE GROVE, MN 55016-5229
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
A16764
MN
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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