| NPI | 1417240888 |
|---|---|
| Doing Business As | MOUNTAIN RIDGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOHN GREEN Owner, Doctor 801-224-7182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: UT 7692415-9922) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2011-05-18 |