NPI 1982411401
Victor Isaiah Mastley
Practice location
- Address
- 2101 Elm St N, Fargo, ND 58102-2417
- Phone
- (775) 895-5667
- Mailing address
- 2915 Bluestem Dr APT 1158, West Fargo, ND 58078-8027
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1982411401
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 17 Dec 2024
- Record last updated
- 17 Dec 2024
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.