| Vail Valley Oral And Maxillofacial Surgery, Professional L.l.c. | |
|
0105 Edwards Village Blvd C-205 Edwards CO 81632-4507 | |
| (970) 569-3055 | |
| (970) 569-3057 |
| Full Name | Vail Valley Oral And Maxillofacial Surgery, Professional L.l.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 0105 Edwards Village Blvd, Edwards, Colorado |
| Authorized Official Name and Position | Howard James Garel (MEMBER) |
| Authorized Official Contact | 9705693055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vail Valley Oral And Maxillofacial Surgery, Professional L.l.c. Po Box 4507 Edwards CO 81632-4507 Ph: (970) 569-3055 | Vail Valley Oral And Maxillofacial Surgery, Professional L.l.c. 0105 Edwards Village Blvd C-205 Edwards CO 81632-4507 Ph: (970) 569-3055 |
| NPI Number | 1548305725 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 06/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548305725 | NPI | - | NPPES |
| 12782351 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 104546 (Colorado) | Primary |
Mountain Valley Kids Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Edwards Village Blvd Unit 202, Edwards, CO 81632 Phone: 970-926-8486 | |
Ryan G Zastrow, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 Main St Unit O 203, Edwards, CO 81632 Phone: 970-766-7676 | |
Mountain Valley Kids Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Edwards Village Blvd., #d-202, Po Box 41, Edwards, CO 81632 Phone: 303-883-1748 | |
Koperly Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 27 Main St, Unit 104, Edwards, CO 81632 Phone: 832-436-8277 | |
Modern Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 27 Main St, Suite 104e, Edwards, CO 81632 Phone: 970-926-4321 | |
Riverwalk Periodontics Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 280 Main St, Quartz C-106, Edwards, CO 81632 Phone: 970-766-6000 | |
Vail Oral And Maxillofacial Radiology, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Edwards Village Blvd # C-205, Edwards, CO 81632 Phone: 970-569-3055 Fax: 970-569-3057 |