Individual
DR. PHILLIP MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4951 NE GOODVIEW CIR STE C, LEES SUMMIT, MO 64064-1999
(816) 373-5574
Mailing address
4951 NE GOODVIEW CIR STE C, LEES SUMMIT, MO 64064-1999
(816) 373-5574
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2014041731
MO
122300000X
Dentist
61003
KS
Other
Enumeration date
06/30/2014
Last updated
03/13/2017
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