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Organization
LEGENDARY SMILES DENTAL GROUP
Active
Organization
LEGENDARY SMILES DENTAL GROUP
Active
Other names
Legendary Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONTY STEWART BULZOMI DDS (DENTIST)
(701) 842-4474
Entity
Organization
Contact information
Practice address
361 N MAIN ST, WATFORD CITY, ND 58854-7311
(701) 842-4474
Mailing address
PO BOX 486, WATFORD CITY, ND 58854-0486
(701) 842-4474
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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