Organization
CAITLYN M. LASTOVICA, D.D.S., LLC
Active
Other names
Caitlyn M. Lastovica, D.D.S.
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLYN MARIE LASTOVICA D.D.S. (DENTIST)
(308) 632-5131
Entity
Organization
Contact information
Practice address
210 W 38TH ST, SCOTTSBLUFF, NE 69361-4778
(308) 632-5131
Mailing address
210 W 38TH ST, SCOTTSBLUFF, NE 69361-4778
(308) 632-5131
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7230
NE
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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