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Organization
JENNINGS W BRISTOL DDS PC
Active
Organization
JENNINGS W BRISTOL DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED WILSON BRISTOL DDS (ASSOCIATE)
(770) 435-9046
Entity
Organization
Contact information
Practice address
573 CONCORD RD SE STE C, SMYRNA, GA 30082-2611
(770) 435-9046
Mailing address
573 CONCORD RD SE STE C, SMYRNA, GA 30082-2611
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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