Individual
MELANIE ROSE WATSON-MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3330 W 177TH ST, UNIT 1-G, HAZEL CREST, IL 60429-2186
(708) 798-7400
(708) 798-7503
Mailing address
3330 W 177TH ST, UNIT 1-G, HAZEL CREST, IL 60429-2186
(708) 798-7400
(708) 798-7503
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
432080709
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432080709
—
IL
Enumeration date
09/26/2006
Last updated
05/04/2021
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