| Montgomery Family Dental, Pllc | |
|
110 1st St N Montgomery MN 56069-1514 | |
| (507) 364-8001 | |
| Not Available |
| Full Name | Montgomery Family Dental, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 110 1st St N, Montgomery, Minnesota |
| Authorized Official Name and Position | Seth Huiras (MANAGING MEMBER) |
| Authorized Official Contact | 5073648001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montgomery Family Dental, Pllc 110 1st St N Montgomery MN 56069-1514 Ph: (507) 364-8001 | Montgomery Family Dental, Pllc 110 1st St N Montgomery MN 56069-1514 Ph: (507) 364-8001 |
| NPI Number | 1184087785 |
|---|---|
| Provider Enumeration Date | 03/31/2016 |
| Last Update Date | 03/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184087785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D13630 (Minnesota) | Primary |
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