| NPI | 1497379564 |
|---|---|
| Doing Business As | RED MOUNTAIN DENTAL |
| Entity Type | Organization |
| Authorized Contact | DENVER J PALMER Dentist 719-649-4459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |