Big Sky Oral & Facial Surgery

NPI #1710523725 in Bozeman, Montana

Provider Information

NPI Number
1710523725
Entity Type
Organization
Organization Name
Big Sky Oral & Facial Surgery
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Nov 25, 2019
Last Updated
Nov 25, 2019

Practice Location

Address
1125 W KAGY BLVD STE 201
State
Montana
ZIP Code
59715-5879
Phone
(406) 585-1120

Authorized Official

Name
DR. CHRISTOPHER RYAN WALLIS, DDS
Title
OWNER
Phone
(406) 585-1120

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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