Individual
DR. SHELLY A MONTEGUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2960 GAUSE BLVD E, SLIDELL, LA 70461-4153
(985) 641-3988
Mailing address
2960 GAUSE BLVD E, SLIDELL, LA 70461-4153
(985) 641-3988
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5895
LA
Other
Enumeration date
08/13/2008
Last updated
05/21/2015
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