Organization · Type 2 NPI

Vail Oral and Maxillofacial Radiology, LLC

Dental Clinic/Center · Edwards, CO

NPI number 1497915854 Active

Practice location

105 Edwards Village Blvd # C-205
Edwards, CO 81632-9914

Call (970) 569-3055 Map

Fax (970) 569-3057

Mailing address

PO Box 4507, 0105 Edwards Village Blvd #C-205
Edwards, CO 81632-4507

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X104546 (CO)

Dental Clinic/Center: Definition to come...

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About NPI 1497915854

Vail Oral and Maxillofacial Radiology, LLC's National Provider Identifier is 1497915854, issued on Jun 10, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Edwards, CO. The record was last updated on Jun 10, 2008.