| NPI | 1336800697 |
|---|---|
| Doing Business As | LONE MOUNTAIN DENTAL |
| Entity Type | Organization |
| Authorized Contact | THOMAS GODFREY Doctor 702-655-9533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2022-01-07 |