Organization
RYAN L MONTGOMERY DDS MD PLLC
Active
Other names
Angelo Oral and Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN MONTGOMERY DDS MD (ORAL AND MAXILLOFACIAL SURGEON)
(325) 944-3565
Entity
Organization
Contact information
Practice address
3012 GREEN MEADOW DR, SAN ANGELO, TX 76904-6974
(325) 944-3565
(325) 924-8518
Mailing address
3012 GREEN MEADOW DR, SAN ANGELO, TX 76904-6974
(325) 944-3565
(325) 924-8518
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
29483
TX
Other
Enumeration date
10/24/2015
Last updated
10/24/2015
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