Ismael Bastida DDS

NPI 1073526505 - Dentist - 1223G0001X

NPI Details
NPI 1073526505
Gender Male
Enumeration Date 08/14/2006
Last Updated 04/14/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
4014 82ND ST
ELMHURST NY, 11373-1305, US
Phone (718) 397-7777
Fax
Business Location
4014 82ND ST
ELMHURST NY, 11373-1305, US
Phone (718) 397-7777
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State New York
License Number 052687
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According to our database, Dr. Ismael Bastida DDS NPI is 1073526505, taxonomy code is 1223G0001X and license number is 052687, license state is located at New York. Ismael Bastida DDS physically located at 4014 82nd St, Elmhurst NY, 11373-1305. NPI Number Ismael Bastida DDS has the Individual type.

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1073526505 NPI number is provided on an as is basis without warranty of any kind. 1073526505 is maintained by the National Plan & Provider Enumeration System. The contents of Ismael Bastida DDS are for informational purposes only.