Individual
DR. MARTY MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2700 SOUTH FIRST STREET, AUSTIN, TX 78704
(512) 442-4338
Mailing address
2700 SOUTH FIRST STREET, AUSTIN, TX 78704
(512) 442-4338
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
24217
TX
1223P0221X
Pediatric Dentistry
DS037740
PA
Other
Enumeration date
05/19/2008
Last updated
03/30/2010
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