| NPI | 1508551706 |
|---|---|
| Doing Business As | SILVER MOUNTAIN DENTAL |
| Entity Type | Organization |
| Authorized Contact | KENDRA M EBERT Operations Partner 765-669-1254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2023-04-05 |