Organization
VAIL VALLEY ORAL AND MAXILLOFACIAL SURGERY, PROFESSIONAL L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD JAMES GAREL D.D.S. (MEMBER)
(970) 569-3055
Entity
Organization
Contact information
Practice address
0105 EDWARDS VILLAGE BLVD, C-205, EDWARDS, CO 81632-4507
(970) 569-3055
(970) 569-3057
Mailing address
PO BOX 4507, EDWARDS, CO 81632-4507
(970) 569-3055
(970) 569-3057
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
104546
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12782351
—
CO
Enumeration date
02/21/2007
Last updated
06/18/2014
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