Individual
DR. MARK STEPHEN MONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2147 E SOUTHERN AVE, TEMPE, AZ 85282-7503
(480) 820-2901
(480) 820-2975
Mailing address
2147 E SOUTHERN AVE, TEMPE, AZ 85282-7503
(480) 820-2901
(480) 820-2975
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
D3940
AZ
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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