Individual
DR. ISMAEL RAFAEL MONTANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
702 KING FARM BLVD STE 160, ROCKVILLE, MD 20850-6536
(240) 415-8492
(301) 694-2941
Mailing address
702 KING FARM BLVD STE 160, ROCKVILLE, MD 20850-6536
(240) 415-8492
(301) 345-1609
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL11079
MA
Other
Enumeration date
08/13/2010
Last updated
01/17/2024
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