Provider Demographics
NPI:1821046806
Name:MONTANO, DONALD R (DDS, MSD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:R
Last Name:MONTANO
Suffix:
Gender:M
Credentials:DDS, MSD
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Mailing Address - Street 1:5812 ALFRED HARRELL HWY
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-9650
Mailing Address - Country:US
Mailing Address - Phone:661-872-3623
Mailing Address - Fax:661-872-4700
Practice Address - Street 1:9330 STOCKDALE HWY
Practice Address - Street 2:SUITE 200
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-3614
Practice Address - Country:US
Practice Address - Phone:661-665-7600
Practice Address - Fax:661-665-7648
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CADY0334981223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics