DR. Trevor Basta, D.M.D.

NPI #1962753996 in Sparks, Nevada

Provider Information

NPI Number: 1962753996
Entity Type: Individual
Name: DR. Trevor Basta, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Oct 1, 2012
Last Updated: Oct 1, 2012

Practice Location

Address: 840 I ST
Address 2: STE 3
City: Sparks
State: Nevada
ZIP Code: 89431-3677
Phone: (775) 358-1870

Specialties & Taxonomy Codes

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

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