NPI | 1225673429 |
---|---|
Doing Business As | MOUNTAIN VIEW DENTAL |
Entity Type | Organization |
Authorized Contact | JACOB WARNER Credentialing Manager 801-691-1701 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 1223P0300X Dentist, Periodontics |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
Enumeration Date | 2019-11-12 |
Last Update Date | 2023-12-15 |