NPI | 1619423381 |
---|---|
Doing Business As | LOOKOUT MOUNTAIN FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | ISAAC BRIAN HOWARD Owner 602-493-0206 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2016-08-31 |
Last Update Date | 2016-08-31 |