Individual
DR. NIKITA K PASTAGIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2107 COTTMAN AVE, PHILADELPHIA, PA 19149-1122
(848) 219-6039
Mailing address
2107 COTTMAN AVE., PHILADELPHIA, PA 19149
(848) 219-6039
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22D102544100
NJ
122300000X
Dentist
Primary
DS039765
PA
Other
Enumeration date
08/05/2013
Last updated
09/12/2013
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