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Organization
NICHOLAS M GISTARO DMD APC
Active
Organization
NICHOLAS M GISTARO DMD APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS M. GISTARO (OWNER - OPERATOR)
(619) 426-6891
Entity
Organization
Contact information
Practice address
549 H STREET, SUITE A, CHULA VISTA, CA 91910
(619) 426-6891
(619) 426-0913
Mailing address
549 H ST, SUITE A, CHULA VISTA, CA 91910-4302
(619) 426-6891
(619) 426-0913
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
029282
CA
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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