| NPI | 1710624861 |
|---|---|
| Doing Business As | JEFF MONTGOMERY, DDS |
| Entity Type | Organization |
| Authorized Contact | VICENTA REYES Lead Of Credentialing 972-869-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2022-06-17 |