Individual
DR. NITIN RASTOGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1110 JOHNSTOWN RD, BECKLEY, WV 25801-4942
(304) 255-0717
Mailing address
75 GORDONHURST AVE, MONTCLAIR, NJ 07043-1715
(201) 694-2903
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
07150
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
WV
Other
Enumeration date
09/12/2019
Last updated
01/16/2023
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