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Individual

DR. VERONICA MONTGOMERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
5360 N EAGLE RD, SUITE # 101, BOISE, ID 83713-4901
(208) 939-7620
Mailing address
5360 N EAGLE RD, SUITE # 101, BOISE, ID 83713-4901
(208) 939-7620

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2476
MT
1223G0001X
General Practice Dentistry
Primary
D-4631
ID

Other

Enumeration date
10/11/2011
Last updated
02/20/2015
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