| NPI | 1154577443 |
|---|---|
| Doing Business As | BLACK MOUNTAIN FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CHARLES SCHLESINGER Dentist/Owner 858-271-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 45523) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |