| Mark N. Montgomery, D.d.s., Inc. | |
|
32241 Crown Valley Pkwy Suite 240 Monarch Beach CA 92629-3346 | |
| (949) 493-3333 | |
| (949) 493-2057 |
| Full Name | Mark N. Montgomery, D.d.s., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 32241 Crown Valley Pkwy, Monarch Beach, California |
| Authorized Official Name and Position | Mark N. Montgomery (PRESIDENT) |
| Authorized Official Contact | 9494933333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark N. Montgomery, D.d.s., Inc. 32241 Crown Valley Pkwy Suite 240 Monarch Beach CA 92629-3346 Ph: (949) 493-3333 | Mark N. Montgomery, D.d.s., Inc. 32241 Crown Valley Pkwy Suite 240 Monarch Beach CA 92629-3346 Ph: (949) 493-3333 |
| NPI Number | 1952510067 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952510067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 31673 (California) | Primary |