| Bristol Family Dental Group | |
|
62 Corporate Park Ste 220 Irvine CA 92606-3130 | |
| (714) 545-0453 | |
| (714) 545-4553 |
| Full Name | Bristol Family Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 62 Corporate Park Ste 220, Irvine, California |
| Authorized Official Name and Position | Paul Paek Chon (OWNER) |
| Authorized Official Contact | 7145450453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bristol Family Dental Group 3620 S Bristol St Suite 206 Santa Ana CA 92704-7300 Ph: (714) 545-0453 | Bristol Family Dental Group 62 Corporate Park Ste 220 Irvine CA 92606-3130 Ph: (714) 545-0453 |
| NPI Number | 1437373768 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 05/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437373768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 45442 (California) | Primary |
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