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Individual
JOSEPH A MOUNTAIN JR.
Active
Individual
JOSEPH A MOUNTAIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS036194
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101296251
—
PA
01
—
169247
UNISON
PA
01
—
1734164
UNITED CONCORDIA
PA
01
—
248138
DENTAL BENEFIT PROVIDERS
PA
01
—
9179593
DORAL DENTAL
PA
01
—
DS036194
DELTA DENTAL
PA
Enumeration date
06/02/2006
Last updated
08/31/2011
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