Individual
TONY MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3012 GREEN MEADOW DR, SAN ANGELO, TX 76904-6974
(325) 944-3565
Mailing address
3012 GREEN MEADOW DR, SAN ANGELO, TX 76904-6974
(325) 944-3565
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
37137
TX
Other
Enumeration date
04/03/2017
Last updated
09/22/2022
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