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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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