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Dr. Phillip Montoya, DDS

Dentist in Lees Summit, MO. Individual provider (NPI-1).

NPI number1801201645
StatusActive
Last updated in NPPESMar 13, 2017

Details

NPI
1801201645
Entity type
Individual (NPI-1)
Name
Dr. Phillip Montoya
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Jun 30, 2014
Last updated
Mar 13, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist2014041731MOYes
122300000X Dentist61003KS

Practice location

4951 Ne Goodview Cir Ste C
Lees Summit, MO 64064-1999

Phone 816-373-5574

Mailing address

4951 Ne Goodview Cir Ste C
Lees Summit, MO 64064-1999

Phone 816-373-5574

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