| NPI | 1639903842 |
|---|---|
| Doing Business As | OVER THE MOUNTAIN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LUIS ANGEL ABRAHANTE Doctor 205-968-1296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2024-09-17 |