| Little Mountain Dental | |
|
394 S Main St Tooele UT 84074-2746 | |
| (435) 882-2331 | |
| (435) 882-2334 |
| Full Name | Little Mountain Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 394 S Main St, Tooele, Utah |
| Authorized Official Name and Position | Kathy J Cox (OFFICE MANAGER) |
| Authorized Official Contact | 4358822331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Mountain Dental 394 S Main St Tooele UT 84074-2746 Ph: (435) 882-2331 | Little Mountain Dental 394 S Main St Tooele UT 84074-2746 Ph: (435) 882-2331 |
| NPI Number | 1861928723 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861928723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4923271 (Utah) | Primary |
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