Organization
BLUE MOUNTAIN DENTAL LLC
Active
Other names
Blue Mountain Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE BLOOMFIELD DMD (DOCTOR)
(435) 406-4006
Entity
Organization
Contact information
Practice address
60 S 300 EAST, DELTA, UT 84624
(435) 864-5195
(435) 864-5199
Mailing address
PO BOX 310, DELTA, UT 84624-0310
(435) 864-5195
(435) 864-5199
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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