| NPI | 1619421351 |
|---|---|
| Doing Business As | MIRAMONT FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JULIE M DESAIRE Chief Business Development Officer 970-225-5107 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-11 |