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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