| NPI | 1821448036 |
|---|---|
| Other Name | MOUNTAIN VISTA DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JONATHON EDWARDS Manager 480-868-1864 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AZ D009375) |
| Enumeration Date | 2016-06-18 |
| Last Update Date | 2016-06-18 |