Individual
DR. SOTIRIOS VASTARDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
1100 FLORIDA AVE, BOX 138, NEW ORLEANS, LA 70119-2714
(504) 619-8721
Mailing address
1100 FLORIDA AVE, BOX 138, NEW ORLEANS, LA 70119-2714
(504) 619-8721
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
P84
LA
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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