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1386798049
TIMOTHY J. MONTGOMERY
EDEN PRAIRIE, MN
NPI
1386798049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: MN 8466)
Enumeration Date
2007-01-22
Last Update Date
2007-07-08
Business Address
Dr. TIMOTHY J. MONTGOMERY DDS
16570 W 78TH ST
EDEN PRAIRIE, MN 55346-4308
Phone number: 952-937-8733
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Mailing Address
Dr. TIMOTHY J. MONTGOMERY DDS
14605 GLAZIER AVE
APPLE VALLEY, MN 55124-7545
Phone number: 952-432-1103
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