Legendary Smiles Dental Group
NPI #1104658079 in Watford City, North Dakota
Provider Information
- NPI Number
- 1104658079
- Entity Type
- Organization
- Organization Name
- Legendary Smiles Dental Group
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 19, 2024
- Last Updated
- Aug 19, 2024
Practice Location
- Address
- 361 N MAIN ST
- City
- Watford City
- State
- North Dakota
- ZIP Code
- 58854-7311
- Phone
- (701) 842-4474
Authorized Official
- Name
- DR. MONTY STEWART BULZOMI, DDS
- Title
- DENTIST
- Phone
- (701) 842-4474
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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| Legendary Smiles, P.c. |  AI Deep Dive |
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