| NPI | 1679227839 |
|---|---|
| Doing Business As | SILVER MOUNTAIN DENTAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL LAWRENCE SHERMAN Clinical Director 631-806-1275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2022-02-07 |