Individual
DR. RACHEL EUBANK MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2700 S 1ST ST, AUSTIN, TX 78704-5421
(832) 755-6458
Mailing address
2700 S 1ST ST, AUSTIN, TX 78704-5421
(832) 755-6458
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
21598
MA
1223P0221X
Pediatric Dentistry
21598
MA
1223P0221X
Pediatric Dentistry
Primary
22364
TX
1223P0221X
Pediatric Dentistry
DS037419
PA
Other
Enumeration date
11/28/2006
Last updated
12/07/2020
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