Individual
DR. ANTONIO M. BISTRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2426 WEBSTER ST, BERKELEY, CA 94705-2016
(510) 845-3510
(510) 845-3900
Mailing address
2426 WEBSTER ST, BERKELEY, CA 94705-2016
(510) 845-3510
(510) 845-3900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41235
CA
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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