| 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 |