DR. Marcus Steven Lastimado, D.M.D

NPI #1396931499 in Fort Bliss, Texas

Provider Information

NPI Number: 1396931499
Entity Type: Individual
Name: DR. Marcus Steven Lastimado, D.M.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D
Enumeration Date: Sep 21, 2007
Last Updated: Sep 21, 2007

Practice Location

Address: 128 CHAFFEE ROAD
City: Fort Bliss
State: Texas
ZIP Code: 79906-3811
Phone: (954) 815-5186

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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