| NPI | 1619058393 |
|---|---|
| Doing Business As | BLUE MOUNTAIN DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | MARCY BOLSTER Financial Coordinator 509-525-4662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2012-05-24 |