John Alton Vestal III, D.D.S.

NPI #1417940727 in Cortez, Colorado

Provider Information

NPI Number: 1417940727
Entity Type: Individual
Name: John Alton Vestal III, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Aug 23, 2005
Last Updated: Feb 20, 2023

Practice Location

Address: 302 W MONTEZUMA AVE
City: Cortez
State: Colorado
ZIP Code: 81321-2750
Phone: (970) 565-3612

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Dentist	122300000X	Primary

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