Kathryn K Montgomery Dds Llc | |
15580 Us Rt 36e Marysville OH 43040 | |
(937) 642-1151 | |
Not Available |
Full Name | Kathryn K Montgomery Dds Llc |
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Speciality | Dentist - General Practice |
Location | 15580 Us Rt 36e, Marysville, Ohio |
Authorized Official Name and Position | Kathryn K Montgomery (OWNER) |
Authorized Official Contact | 9376421151 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kathryn K Montgomery Dds Llc 15580 Us Rt 36e Marysville OH 43040 Ph: () - | Kathryn K Montgomery Dds Llc 15580 Us Rt 36e Marysville OH 43040 Ph: (937) 642-1151 |
NPI Number | 1225333578 |
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Provider Enumeration Date | 01/18/2011 |
Last Update Date | 01/18/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225333578 | NPI | - | NPPES |
1770793069 | Other | OH | NPI INDIVIDUAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 30022373 (Ohio) | Primary |
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