| NPI | 1417151945 |
|---|---|
| Professional Name | NODARI DAVITI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 010921) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 0483091) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2013-06-10 |