Individual
ELISABETH ANNE MONTAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
436 5TH AVE, KOTZEBUE, AK 99752
(907) 442-3321
Mailing address
2817 147THAVE, SHERRARD, IL 61281
(413) 277-5186
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
9682
CT
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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