| Vail Oral And Maxillofacial Radiology, Llc | |
|
105 Edwards Village Blvd # C-205 Edwards CO 81632-9914 | |
| (970) 569-3055 | |
| (970) 569-3057 |
| Full Name | Vail Oral And Maxillofacial Radiology, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 105 Edwards Village Blvd # C-205, Edwards, Colorado |
| Authorized Official Name and Position | James Garel (MEMBER) |
| Authorized Official Contact | 9705693055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vail Oral And Maxillofacial Radiology, Llc Po Box 4507 0105 Edwards Village Blvd #c-205 Edwards CO 81632-4507 Ph: (970) 569-3055 | Vail Oral And Maxillofacial Radiology, Llc 105 Edwards Village Blvd # C-205 Edwards CO 81632-9914 Ph: (970) 569-3055 |
| NPI Number | 1497915854 |
|---|---|
| Provider Enumeration Date | 06/10/2008 |
| Last Update Date | 06/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497915854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 104546 (Colorado) | Primary |
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