Individual
RYAN MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6801 NW 39TH EXPY STE A, BETHANY, OK 73008-2501
(405) 787-1946
Mailing address
15660 DALLAS PKWY STE 925, DALLAS, TX 75248-3323
(214) 702-0720
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7203
OK
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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