Individual
DR. JON MONTGOMERY WAMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1602 E HERITAGE LN, SPOKANE, WA 99208-8509
(509) 468-0677
Mailing address
1602 E HERITAGE LN, SPOKANE, WA 99208-8509
(509) 468-0677
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE 00003073
WA
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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