| NPI | 1174686034 |
|---|---|
| Doing Business As | BLACK MOUNTAIN DENTAL |
| Entity Type | Organization |
| Authorized Contact | RODNEY GARTH HARRIS Owner 702-699-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 3208) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |