Organization
ISMAEL R. MONTANE, DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISMAEL RAFAEL MONTANE DMD (PRINCIPAL)
(305) 608-5854
Entity
Organization
Contact information
Practice address
702 KING FARM BLVD STE 160, ROCKVILLE, MD 20850-6536
(305) 608-5854
Mailing address
12229 BRADBURY DR, GAITHERSBURG, MD 20878-2030
(305) 608-5854
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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