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 |