NPI 1104483122

Meghan Cyrena Bristlin, DMD

Practitioner General Practice Dentistry Lewiston, ID

Practice location

Address: 3326 4th St STE 3, Lewiston, ID 83501-4455
Phone: (208) 746-2414

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D5030 (ID)

Other Dentist providers in Idaho →

Registry record

NPI: 1104483122
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 May 2019
Record last updated: 24 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.