Individual
MEGHAN MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1692B HOSPITAL DR STE 201B, SANTA FE, NM 87505-4825
(505) 925-4031
Mailing address
1692B HOSPITAL DR STE 201B, SANTA FE, NM 87505-4825
(505) 925-4031
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DD5670
NM
390200000X
Student in an Organized Health Care Education/Training Program
TD-00-114
—
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
03/05/2019
Last updated
07/25/2022
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