NPI | 1639610041 |
---|---|
Doing Business As | SPRING MOUNTAIN PERIODONTICS |
Entity Type | Organization |
Authorized Contact | JAMES ROBERT NORRIS President/Owner 651-646-3252 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO DEN 00007926) |
Enumeration Date | 2017-03-17 |
Last Update Date | 2017-03-17 |