NPI | 1154348233 |
---|---|
Other Name | NICK J SAVASTANO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: FL DN15487) |
Additional Taxonomies | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: SC DGD 8789 DS) |
Enumeration Date | 2006-07-16 |
Last Update Date | 2021-06-02 |