# VAIL ORAL AND MAXILLOFACIAL RADIOLOGY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497915854
- **Authorized official:** DR. JAMES GAREL D.D.S. (MEMBER)
- **Authorized official phone:** (970) 569-3055

## Contact information

- **Practice address:** 105 EDWARDS VILLAGE BLVD \# C-205, EDWARDS, CO 81632-9914
- **Practice address phone:** (970) 569-3055
- **Practice address fax:** (970) 569-3057
- **Mailing address:** PO BOX 4507, 0105 EDWARDS VILLAGE BLVD \#C-205, EDWARDS, CO 81632-4507
- **Mailing address phone:** (970) 569-3055
- **Mailing address fax:** (970) 569-3057

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 104546 | CO | Yes |

## Other

- **Enumeration date:** 06/10/2008
- **Last updated:** 06/10/2008