OrganizationActive
Legendary Smiles Dental Group
NPI 1104658079 · Dental Clinic/Center · Watford City, ND
Provider details
- NPI number
- 1104658079
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Monty Bulzomi, Dentist
Mailing address
Po Box 486
Watford City, ND 58854-0486
Registry dates
- Enumerated
- 2024-08-19
- Last updated
- 2024-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.