Dominique Montgomery's National Provider Identifier (NPI) Details
Dominique Montgomery,
NPI: 1922588060
Enumeration Date: 2018-08-17
Last updated: 2018-08-17
Sole Proprietor: NO
Status: active
Postal Address: 570 CLINTON ST, DETROIT, MI
Phone: 313-224-0715
Primary Practice Address: 570 CLINTON ST, DETROIT, MI
Practice's phone: 313-224-0715