Individual
DR. JOSEPH SCOTT DASTRUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
460 S MAIN ST STE 102, DAVIDSON, NC 28036-8006
(704) 892-6602
Mailing address
PO BOX 2566, DAVIDSON, NC 28036-2566
(443) 824-5590
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10205
CO
122300000X
Dentist
Primary
10242
NC
Other
Enumeration date
06/26/2009
Last updated
11/04/2020
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