Individual
KIMBERLY MONTGOMERY ARTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
HWY JUNCTION 371 AND ROUTE 9, CROWNPOINT HEALTHCARE FACILITY, CROWNPOINT, NM 87313-0358
(505) 786-6283
(505) 786-6394
Mailing address
PO BOX 358, CROWNPOINT, NM 87313-0358
(505) 786-6283
(505) 786-6394
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020013169
IL
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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