Organization
ALAN B MONTGOMERY ORTHODONTICS
Active
Organization
ALAN B MONTGOMERY ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN B MONTGOMERY DDS MS (OWNER)
(651) 765-1945
Entity
Organization
Contact information
Practice address
4535 HODGSON RD, 700, SHOREVIEW, MN 55126
(651) 765-1945
(651) 765-1949
Mailing address
4535 HODGSON RD, 700, SHOREVIEW, MN 55126
(651) 765-1945
(651) 765-1949
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
1442499921
UT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8584
MN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
D3327
AZ
Other
Enumeration date
09/26/2006
Last updated
06/25/2008
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