| NPI | 1689262818 |
|---|---|
| Doing Business As | EAST MOUNTAIN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ALEKSEY KOZLOV Member 916-247-2048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2021-01-04 |