Individual
ADRIENNE RHODES MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2600 JAMES RD STE 100, GRANBURY, TX 76049
(817) 326-4098
Mailing address
207 SHADE TREE LN # LM, CLEBURNE, TX 76033-1138
(817) 240-9052
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34177
TX
Other
Enumeration date
06/11/2018
Last updated
08/22/2018
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