Vail Oral and Maxillofacial Radiology, LLC

NPI #1497915854 in Edwards, Colorado

Provider Information

NPI Number: 1497915854
Entity Type: Organization
Organization Name: Vail Oral and Maxillofacial Radiology, LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jun 10, 2008
Last Updated: Jun 10, 2008

Practice Location

Address: 105 EDWARDS VILLAGE BLVD # C-205
City: Edwards
State: Colorado
ZIP Code: 81632-9914
Phone: (970) 569-3055

Authorized Official

Name: DR. JAMES GAREL, D.D.S.
Title: MEMBER
Phone: (970) 569-3055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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