Individual
DR. SAMUEL DASTRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
430 S SALISBURY AVE, SPENCER, NC 28159-2239
(801) 821-8982
Mailing address
2577 SHOAL PARK RD, CONCORD, NC 28027-2871
(801) 821-8982
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14450
NC
Other
Enumeration date
06/19/2019
Last updated
10/10/2025
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