Individual
DR. TYRUS GERARD MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12300 KEMMERTON LN, BOWIE, MD 20715-2721
(301) 262-1888
(301) 262-1899
Mailing address
12300 KEMMERTON LN, BOWIE, MD 20715-2721
(301) 262-1888
(301) 266-1899
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11713
MD
Other
Enumeration date
05/01/2007
Last updated
03/18/2020
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