Provider Demographics
NPI:1982704722
Name:MONTOYA, ARTHUR B JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:B
Last Name:MONTOYA
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2610 TRINITY DR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:LOS ALAMOS
Mailing Address - State:NM
Mailing Address - Zip Code:87544-2376
Mailing Address - Country:US
Mailing Address - Phone:505-662-5666
Mailing Address - Fax:505-661-0225
Practice Address - Street 1:2610 TRINITY DR
Practice Address - Street 2:SUITE 3
Practice Address - City:LOS ALAMOS
Practice Address - State:NM
Practice Address - Zip Code:87544-2376
Practice Address - Country:US
Practice Address - Phone:505-662-5666
Practice Address - Fax:505-661-0225
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NM16351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice