Individual
DR. TREVOR BASTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
840 I ST, STE 3, SPARKS, NV 89431-3677
(775) 358-1870
Mailing address
4575 CANYON DR, RENO, NV 89519-7900
(775) 250-3499
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6336
NV
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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