| NPI | 1861928723 |
|---|---|
| Doing Business As | LITTLE MOUNTAIN DENTAL |
| Entity Type | Organization |
| Authorized Contact | KATHY J COX Office Manager 435-882-2331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: UT 4923271) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |