Individual
JUSTIN ROY MONTENEGRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
NAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DR, SAN DIEGO, CA 92134-5000
(619) 920-3286
Mailing address
NAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DR, SAN DIEGO, CA 92134-5000
(619) 920-3286
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DT-2829
HI
Other
Enumeration date
08/27/2019
Last updated
10/23/2025
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