| NPI | 1891853503 |
|---|---|
| Doing Business As | DENTAL SERVICES OF BRISTOL |
| Entity Type | Organization |
| Authorized Contact | FRANKLIN M WILSON Dentist Owner 860-589-7595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CT 5820) |
| Additional Taxonomies | 122300000X Dentist (Licence: CT 5806) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |