MEDICARE: DR. CRISTINA ECATERINA NASTEA D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	0401411139	VA
2	122300000X	Dentist	13823	MD

General Provider Information

NPI Number	:	1497847891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CRISTINA ECATERINA NASTEA D.D.S.

Provider Business Mailing Address
First Line	:	8134 OLD KEENE MILL RD STE 202
Second Line	:
City	:	SPRINGFIELD
State	:	VA
Zip	:	22152-1849
Country	:	US
Telephone Number	:	703-569-9494
Fax Number	:	703-569-7825

Provider Business Practice Location Address
First Line	:	8134 OLD KEENE MILL RD STE 202
Second Line	:
City	:	SPRINGFIELD
State	:	VA
Zip	:	22152-1849
Country	:	US
Telephone Number	:	703-569-9494
Fax Number	:	703-569-7825

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	11/05/2007

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