Individual
DR. JENNIFIER LYNN MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
20516 ROBAL LN STE 100, BEND, OR 97701-6703
(541) 797-6331
Mailing address
20516 ROBAL LN STE 100, BEND, OR 97701-6703
(541) 797-6331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11332
OR
Other
Enumeration date
10/11/2020
Last updated
10/11/2020
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