| NPI | 1750750824 |
|---|---|
| Doing Business As | CAITLYN M. LASTOVICA, D.D.S. |
| Entity Type | Organization |
| Authorized Contact | CAITLYN MARIE LASTOVICA Dentist 308-632-5131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NE 7230) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |