| NPI | 1316158314 |
|---|---|
| Doing Business As | SOUTH MOUNTAIN DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER S. JOHNSON Owner 801-501-0209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 3749919922) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |