Individual
DR. MARIO ALEJANDRO MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
32 ORCHARD ST, SOUTHBRIDGE, MA 01550-4004
(774) 318-1484
(774) 318-1485
Mailing address
32 ORCHARD ST, SOUTHBRIDGE, MA 01550-4004
(774) 318-1484
(774) 318-1485
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1857824
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1911
PR DENTIST LICENCE
PR
Enumeration date
02/02/2007
Last updated
03/07/2018
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