Organization
CHARLES E. MONTAGUE,III,D.M.D.,P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES ERNEST MONTAGUE III D.M.D. (SOLE OFFICER)
(606) 329-0919
Entity
Organization
Contact information
Practice address
1330 CENTRAL AVE, ASHLAND, KY 41101-7550
(606) 329-0919
Mailing address
1330 CENTRAL AVE, ASHLAND, KY 41101-7550
(606) 329-0919
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5224
KY
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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