Big Sky Oral & Facial Surgery | |
1125 W Kagy Blvd Ste 201 Bozeman MT 59715-5879 | |
(406) 585-1120 | |
(406) 587-1988 |
Full Name | Big Sky Oral & Facial Surgery |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 1125 W Kagy Blvd Ste 201, Bozeman, Montana |
Authorized Official Name and Position | Christopher Ryan Wallis (OWNER) |
Authorized Official Contact | 4065851120 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Big Sky Oral & Facial Surgery 1125 W Kagy Blvd Ste 201 Bozeman MT 59715-5879 Ph: (406) 585-1120 | Big Sky Oral & Facial Surgery 1125 W Kagy Blvd Ste 201 Bozeman MT 59715-5879 Ph: (406) 585-1120 |
NPI Number | 1710523725 |
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Provider Enumeration Date | 11/25/2019 |
Last Update Date | 11/25/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710523725 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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