Individual
ANTHONY GEORGE MONTAGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4113 RIB MOUNTAIN DRIVE, WAUSAU, WI 54401
(715) 571-6021
Mailing address
3801 KING BIRD AVE, WAUSAU, WI 54401-6307
(715) 848-5474
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5088-015
WI
Other
Enumeration date
09/08/2008
Last updated
03/16/2009
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