| John W. Bristow, D.d.s. | |
|
23 Rotary Way Vallejo CA 94591-8475 | |
| (707) 642-3319 | |
| (707) 642-7502 |
| Full Name | John W. Bristow, D.d.s. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 23 Rotary Way, Vallejo, California |
| Authorized Official Name and Position | John W. Bristow (OWNER) |
| Authorized Official Contact | 7076423319 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John W. Bristow, D.d.s. 23 Rotary Way Vallejo CA 94591-8475 Ph: (707) 642-3319 | John W. Bristow, D.d.s. 23 Rotary Way Vallejo CA 94591-8475 Ph: (707) 642-3319 |
| NPI Number | 1558571802 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558571802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 27961 (California) | Primary |
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