| Nicholas M Gistaro Dmd Apc | |
|
549 H Street Suite A Chula Vista CA 91910 | |
| (619) 426-6891 | |
| (619) 426-0913 |
| Full Name | Nicholas M Gistaro Dmd Apc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 549 H Street, Chula Vista, California |
| Authorized Official Name and Position | Nicholas M. Gistaro (OWNER - OPERATOR) |
| Authorized Official Contact | 6194266891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas M Gistaro Dmd Apc 549 H St Suite A Chula Vista CA 91910-4302 Ph: (619) 426-6891 | Nicholas M Gistaro Dmd Apc 549 H Street Suite A Chula Vista CA 91910 Ph: (619) 426-6891 |
| NPI Number | 1154582666 |
|---|---|
| Provider Enumeration Date | 06/18/2008 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154582666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 029282 (California) | Primary |
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