NPI | 1609286574 |
---|---|
Doing Business As | MOUNTAIN VIEW DENTISTRY |
Entity Type | Organization |
Authorized Contact | MICHAEL DAVID WITCHER Dentist 770-331-9480 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: GA DN009608) |
Enumeration Date | 2014-05-01 |
Last Update Date | 2014-05-01 |