Individual
FERNANDO ASTORGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
CAROLINA DENTISTRY CAMPUS B 7450 385 S COLUMBIA ST, CHAPEL HILL, NC 27599-2532
(704) 905-9090
Mailing address
13065 E 17TH AVE, AURORA, CO 80045-2532
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
150808
NC
1223G0001X
General Practice Dentistry
Primary
0231
NC
Other
Enumeration date
04/11/2013
Last updated
06/21/2021
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