Individual
ALEK MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
480 CENTRAL AVE, JBPHH, HI 96860-4908
(760) 725-3213
Mailing address
91-1162 ILIAHIALOE LOOP, EWA BEACH, HI 96706-5824
(720) 383-8326
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D010345
AZ
Other
Enumeration date
09/26/2019
Last updated
06/22/2023
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