NPI | 1730644717 |
---|---|
Doing Business As | MOUNTAIN HIGH FAMILY DENTAL AND ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | DONNA GORDON Owner/Manager 435-647-3012 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-02-04 |
Last Update Date | 2019-02-04 |