NPI 1073255899

Nathan Vaitautolu

Practitioner Dental Assistant Fort Carson, CO

Practice location

Address: 1667 Cochrane Cir Bldg 7495, Fort Carson, CO 80913-4603
Phone: (719) 526-5537

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

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Registry record

NPI: 1073255899
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Apr 2022
Record last updated: 12 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.