Organization
VAIL VALLEY ORAL AND MAXILLOFACIAL SURGERY, PROFESSIONAL L.L.C.
Active
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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