| NPI | 1891487872 |
|---|---|
| Doing Business As | MOUNTAIN WEST DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JOSHUA LEWIS Owner 208-270-0301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-05-25 |