| NPI | 1023379633 |
|---|---|
| Doing Business As | BLUE MOUNTAIN DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | MARCY BOLSTER Office Coordinator 509-525-4662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA 9646) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-05-31 |