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Organization
CAITLYN M. LASTOVICA, D.D.S., LLC
Active
Organization
CAITLYN M. LASTOVICA, D.D.S., LLC
Active
Other names
Caitlyn M. Lastovica, D.D.S.
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLYN MARIE LASTOVICA D.D.S. (DENTIST)
(308) 632-5131
Entity
Organization
Contact information
Practice address
210 W 38TH ST, SCOTTSBLUFF, NE 69361-4778
(308) 632-5131
Mailing address
210 W 38TH ST, SCOTTSBLUFF, NE 69361-4778
(308) 632-5131
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7230
NE
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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