| Montgomery Radiographic Svs | |
|
720 N Tustin Ave Ste 204 Santa Ana CA 92705-3606 | |
| (714) 835-7260 | |
| (714) 835-5808 |
| Full Name | Montgomery Radiographic Svs |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Radiology |
| Location | 720 N Tustin Ave Ste 204, Santa Ana, California |
| Authorized Official Name and Position | Monte Matthew Montgomery (OWNER XRAY TECHNICIAN) |
| Authorized Official Contact | 7148357260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montgomery Radiographic Svs 720 N Tustin Ave 204 Santa Ana CA 92705 Ph: (714) 835-7260 | Montgomery Radiographic Svs 720 N Tustin Ave Ste 204 Santa Ana CA 92705-3606 Ph: (714) 835-7260 |
| NPI Number | 1316151202 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316151202 | NPI | - | NPPES |
| CGP168497 | Other | CA | PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0008X | Dentist - Oral And Maxillofacial Radiology | RHP 52036 (California) | Primary |
U Dream Dental - Santa Ana Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1227 W 17th St, Santa Ana, CA 92706 Phone: 714-881-1441 Fax: 714-881-1448 | |
Koh Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2509 W Mcfadden Ave, Suite E, Santa Ana, CA 92704 Phone: 714-835-8797 Fax: 714-835-8797 | |
Andy Ngan Tran Dmd Inc. Dental Clinic Medicare: Medicare Enrolled Practice Location: 2739 W Edinger Ave, Santa Ana, CA 92704 Phone: 714-957-0308 Fax: 714-957-5845 | |
First Street Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2010 East First Street, Suite 230, Santa Ana, CA 92705 Phone: 714-546-5579 Fax: 714-542-2785 | |
Sergio R. Aguilar, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 N Main St Ste 120, Santa Ana, CA 92701 Phone: 714-835-4057 Fax: 714-835-4058 | |
Pinales Dds Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1306 S Main St, Santa Ana, CA 92707 Phone: 714-542-7272 Fax: 714-541-6399 | |
Bristol Family Dental Family Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2618 S Bristol St, Santa Ana, CA 92704 Phone: 714-540-7101 Fax: 714-540-6061 |