Individual
DR. JARED A MONTANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
214 W AZTEC AVE, GALLUP, NM 87301-6302
(505) 863-4457
Mailing address
214 W AZTEC AVE, GALLUP, NM 87301-6302
(505) 863-4457
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD3676
NM
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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