Provider Demographics
NPI:1689694978
Name:MONTOYA, FRANK WOLFEL JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:WOLFEL
Last Name:MONTOYA
Suffix:JR
Gender:M
Credentials:DDS
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Mailing Address - Street 1:10151 MONTGOMERY BLVD NE
Mailing Address - Street 2:SUITE B
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-3670
Mailing Address - Country:US
Mailing Address - Phone:505-275-1663
Mailing Address - Fax:505-239-7429
Practice Address - Street 1:10151 MONTGOMERY BLVD NE
Practice Address - Street 2:SUITE B
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-3670
Practice Address - Country:US
Practice Address - Phone:505-275-1663
Practice Address - Fax:505-239-7429
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NMD15611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice