DAVID WILLIAM WISTROM

SANTA CRUZ, CA
NPI1083632368
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  42785)
Enumeration Date2006-07-17
Last Update Date2025-08-25
Business Address
Dr. DAVID WILLIAM WISTROM DDS
1830 COMMERCIAL WAY
SANTA CRUZ, CA 95065-1819
Phone number: 831-464-5409
Mailing Address
Dr. DAVID WILLIAM WISTROM DDS
1830 COMMERCIAL WAY
SANTA CRUZ, CA 95065-1819
Phone number: 831-464-5409