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Individual

DR. PATRICK R MONTGOMERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
725 NW 67TH ST, LAWTON, OK 73505-4202
(580) 536-3313
(580) 536-2011
Mailing address
725 NW 67TH ST, LAWTON, OK 73505-4202
(580) 536-3313
(580) 536-2011

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4422
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100112040A
OK
Enumeration date
06/13/2005
Last updated
02/12/2008
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