Individual
DIMITRIE COSMIN NASTASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
23023 ORCHARD LAKE RD STE C, FARMINGTON, MI 48336-3267
(248) 476-4619
Mailing address
23023 ORCHARD LAKE RD STE C, FARMINGTON, MI 48336-3267
(248) 476-4619
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901601159
MI
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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