Individual
DR. RANDALL CLINE MONTGOMERY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2975 FORT HENRY DR, KINGSPORT, TN 37664-4005
(423) 247-9196
Mailing address
2975 FORT HENRY DR, KINGSPORT, TN 37664-4005
(423) 247-9196
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4805
TN
Other
Enumeration date
12/13/2005
Last updated
07/08/2007
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