Organization
BRISTOL DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARKADIY VIRON (OWNER)
(215) 971-5544
Entity
Organization
Contact information
Practice address
900 OLD ORCHARD LN, SUITE A, BRISTOL, PA 19007-6414
(215) 971-5544
Mailing address
900 OLD ORCHARD LN, SUITE A, BRISTOL, PA 19007-6414
(215) 971-5544
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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