| Ismael R. Montane, Dmd Llc | |
|
702 King Farm Blvd Ste 160 Rockville MD 20850-6536 | |
| (305) 608-5854 | |
| Not Available |
| Full Name | Ismael R. Montane, Dmd Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 702 King Farm Blvd Ste 160, Rockville, Maryland |
| Authorized Official Name and Position | Ismael Rafael Montane (PRINCIPAL) |
| Authorized Official Contact | 3056085854 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ismael R. Montane, Dmd Llc 12229 Bradbury Dr Gaithersburg MD 20878-2030 Ph: (305) 608-5854 | Ismael R. Montane, Dmd Llc 702 King Farm Blvd Ste 160 Rockville MD 20850-6536 Ph: (305) 608-5854 |
| NPI Number | 1811771322 |
|---|---|
| Provider Enumeration Date | 08/24/2023 |
| Last Update Date | 08/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811771322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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