| NPI | 1194383752 |
|---|---|
| Professional Name | CRAIG TESTERMAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: NM DD5101) |
| Additional Taxonomies | 122300000X Dentist (Licence: NM DD5101) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2020-10-03 |