NPI 1104658079

Legendary Smiles Dental Group

Organisation Dental Clinic/Center Watford City, ND

Practice location

Address: 361 N Main St, Watford City, ND 58854-7311
Phone: (701) 842-4474
Mailing address: PO Box 486, Watford City, ND 58854-0486

Authorised official

Name: Monty Stewart Bulzomi
Title: Dentist
Phone: (701) 842-4474

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X

Other Clinic/Center providers in North Dakota →

Registry record

NPI: 1104658079
Entity type: Organization
NPI issued: 19 Aug 2024
Record last updated: 19 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.