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Individual

DR. DAVID RUSSELL MONTGOMERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.D.

Contact information

Practice address
212 S MAGNOLIA AVE, OCALA, FL 34471-1156
(352) 732-4427
Mailing address
212 S MAGNOLIA AVE, OCALA, FL 34471-1156
(402) 616-0322

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
6882
NE
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
060336
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2901020622
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN24368
FL

Other

Enumeration date
03/02/2011
Last updated
05/13/2020
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