| NPI | 1144986019 |
|---|---|
| Doing Business As | MOUNTAIN WELLNESS DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JEFF YELLE Dentist/Manager 804-441-2158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2021-11-15 |