| NPI | 1063982940 |
|---|---|
| Doing Business As | NUSTAR ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | LUZ FERNANDEZ Regional Manager 915-274-7071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2023-12-07 |