# VAIL PLASTIC & COSMETIC SURGERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mangat Plastic Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407139769
- **Authorized official:** DR. DEVINDER S. MANGAT M.D. (PRESIDENT)
- **Authorized official phone:** (970) 766-3223

## Contact information

- **Practice address:** 0056 EDWARDS VILLAGE BLVD, SUITE \#6, EDWARDS, CO 81632
- **Practice address phone:** (970) 766-3223
- **Practice address fax:** (970) 766-3225
- **Mailing address:** 0056 EDWARDS VILLAGE BLVD, SUITE \#6, EDWARDS, CO 81632
- **Mailing address phone:** (970) 766-3223
- **Mailing address fax:** (970) 766-3225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/23/2011
- **Last updated:** 09/23/2011