Individual
DR. BRADEN CONRAD MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
95 GRANT ST, SALISBURY, PA 15558
(814) 662-2737
Mailing address
95 GRANT ST, SALISBURY, PA 15558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS043282
PA
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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