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Dr. David William Wistrom, DDS
General Practice Dentistry in Santa Cruz, California
NPI 1083632368

David William Wistrom is a General Practice Dentistry based in Santa Cruz, CA and is specialized in General Practice. David William Wistrom practices in Santa Cruz, CA and has the professional credentials of DDS. The NPI Number for David William Wistrom is 1083632368 and holds a License No. 42785 (California).

The current practice location address for David William Wistrom is 1830 Commercial Way, Santa Cruz, CA and can be reached out via phone at 831-464-5409 and via fax at 831-464-5415.

Location: 1830 Commercial Way, Santa Cruz, CA, 95065-1819
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083632368
Provider Name
David William Wistrom
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1830 Commercial Way, Santa Cruz, CA, 95065-1819
Phone Number
831-464-5409
Fax Number
831-464-5415
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1830 Commercial Way
City
Santa Cruz
State
California
Zip
95065-1819
Phone Number
831-464-5409
Fax Number
831-464-5415
person
Provider Business Mailing Address Details
Address
1830 Commercial Way
City
Santa Cruz
State
California
Zip
95065-1819
Phone Number
831-464-5409
Fax Number
831-464-5415
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
42785 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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