Glacier Oral and Maxillofacial Surgery PC

NPI #1043373012 in Whitefish, Montana

Provider Information

NPI Number
1043373012
Entity Type
Organization
Organization Name
Glacier Oral and Maxillofacial Surgery PC
Primary Specialty
Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date
Dec 19, 2006
Last Updated
Mar 7, 2023

Practice Location

Address
711 13TH STR E
Address 2
STE 101
State
Montana
ZIP Code
59937
Phone
(406) 862-5656

Authorized Official

Name
BERNADETTE L WILSON, DDS MD
Title
PRESIDENT
Phone
(406) 862-5656

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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