Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CODI ETEL ASTIASARAN, D.D.S
ActiveDental Public Health · CROSS PLAINS, TX
Registration Details
- NPI Number
- 1215362637
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 4, 2013 (12.629116177081 yrs)
- Last Updated
- Apr 27, 2015
- Licenses
-
00202008 (CO)30720 (TX)
Practice Information
- Address
-
301 S MAIN STCROSS PLAINS, TX, 764432581Browse TX providers · Browse ZIP 76443
- Phone
- 2547254311
- Primary Specialty
-
Dental Public Health
1223D0001X
- Additional Specialty
- Dental Public Health
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.