Individual
DR. MARC LOUIS MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8380 CITY CENTRE DR STE 130, WOODBURY, MN 55125-5304
(651) 738-1880
(651) 730-7172
Mailing address
4599 MCDONALD DRIVE OVERLOOK, STILLWATER, MN 55082-2147
(651) 351-0406
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9983
MN
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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