| Michael Montgomey | |
|
8055 W Manchester Ave Suite 500 Playa Del Rey CA 90293-7960 | |
| (310) 821-0992 | |
| Not Available |
| Full Name | Michael Montgomey |
|---|---|
| Speciality | Dentist |
| Location | 8055 W Manchester Ave, Playa Del Rey, California |
| Authorized Official Name and Position | Michael Monetgomery (OWNER) |
| Authorized Official Contact | 3108210992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Montgomey 8055 W Manchester Ave Suite 500 Playa Del Rey CA 90293-7960 Ph: (310) 821-0992 | Michael Montgomey 8055 W Manchester Ave Suite 500 Playa Del Rey CA 90293-7960 Ph: (310) 821-0992 |
| NPI Number | 1073965216 |
|---|---|
| Provider Enumeration Date | 07/12/2016 |
| Last Update Date | 07/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073965216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 29383 (California) | Primary |
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Michael Montgomey Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8055 W Manchester Ave Ste 500, Playa Del Rey, CA 90293 Phone: 310-821-0992 Fax: 310-821-9027 | |
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