| William C. Vizzolini, D.d.s., Inc. | |
|
1528 Tennessee St Vallejo CA 94590-4627 | |
| (707) 643-2660 | |
| (707) 643-0807 |
| Full Name | William C. Vizzolini, D.d.s., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1528 Tennessee St, Vallejo, California |
| Authorized Official Name and Position | William Cameron Vizzolini (PRESIDENT) |
| Authorized Official Contact | 7076432660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William C. Vizzolini, D.d.s., Inc. 1528 Tennessee St Vallejo CA 94590-4627 Ph: (707) 643-2660 | William C. Vizzolini, D.d.s., Inc. 1528 Tennessee St Vallejo CA 94590-4627 Ph: (707) 643-2660 |
| NPI Number | 1316156276 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316156276 | NPI | - | NPPES |
| $$$$$$$$$ | Other | SOCIAL SECURITY NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 27705 (California) | Primary |
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