Individual
DR. R. GREGORY MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
120 LOCUST AVENUE EXTENTION, MOUNT MORRIS, PA 15349
(724) 324-9001
Mailing address
120 LOCUST AVE EXT, MOUNT MORRIS, PA 15349-1355
(724) 324-9001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-026391-L
PA
Other
Enumeration date
03/09/2007
Last updated
02/08/2012
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