| NPI | 1679182612 |
|---|---|
| Doing Business As | COPPER MOUNTAIN DENTAL |
| Entity Type | Organization |
| Authorized Contact | TREVOR ROSS LINDGREN Principal Owner (CEO) 801-440-5520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |