Organization
BIG SKY ORAL & FACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER RYAN WALLIS DDS (OWNER)
(406) 585-1120
Entity
Organization
Contact information
Practice address
1125 W KAGY BLVD STE 201, BOZEMAN, MT 59715-5879
(406) 585-1120
(406) 587-1988
Mailing address
1125 W KAGY BLVD STE 201, BOZEMAN, MT 59715-5879
(406) 585-1120
(406) 587-1988
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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