| Phillip Montoya, Dds Llc | |
|
4951 Ne Goodview Cir Ste C Lees Summit MO 64064-1999 | |
| (816) 373-5574 | |
| Not Available |
| Full Name | Phillip Montoya, Dds Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4951 Ne Goodview Cir Ste C, Lees Summit, Missouri |
| Authorized Official Name and Position | Phillip Matthew Montoya (DENTIST) |
| Authorized Official Contact | 5732473040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip Montoya, Dds Llc 4951 Ne Goodview Cir Ste C Lees Summit MO 64064-1999 Ph: (816) 373-5574 | Phillip Montoya, Dds Llc 4951 Ne Goodview Cir Ste C Lees Summit MO 64064-1999 Ph: (816) 373-5574 |
| NPI Number | 1093256182 |
|---|---|
| Provider Enumeration Date | 03/09/2017 |
| Last Update Date | 03/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093256182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2014041731 (Missouri) | Primary |
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