Individual
JOHN ALTON VESTAL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
302 W MONTEZUMA AVE, CORTEZ, CO 81321-2750
(970) 565-3612
(970) 565-6069
Mailing address
302 W MONTEZUMA AVE, CORTEZ, CO 81321-2750
(970) 565-3612
(970) 565-6069
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7935
CO
332B00000X
Durable Medical Equipment & Medical Supplies
7935
CO
Other
Enumeration date
08/23/2005
Last updated
02/20/2023
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