Legendary Smiles, P.c.

NPI #1023463320 in Watford City, North Dakota

Provider Information

NPI Number
1023463320
Entity Type
Organization
Organization Name
Legendary Smiles, P.c.
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Apr 25, 2016
Last Updated
Apr 25, 2016

Practice Location

Address
109 5TH ST SW
ZIP Code
58854-7135
Phone
(701) 842-4474

Authorized Official

Name
DR. MONTY STEWART BULZOMI, D.D.S
Title
OWNER/DENTIST
Phone
(701) 842-4474

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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