Organization
TATE MONTGOMERY DDS PLC
Active
Other names
Heartland Anesthesia
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TATE MONTGOMERY DDS (OWNER)
(918) 200-9610
Entity
Organization
Contact information
Practice address
911 N RIDGEWAY ST, SAPULPA, OK 74066-2417
(918) 200-9610
(918) 200-9610
Mailing address
911 N RIDGEWAY ST, SAPULPA, OK 74066-2417
(918) 200-9610
(918) 200-9610
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6231
OK
Other
Enumeration date
07/22/2012
Last updated
07/22/2012
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