Nitchel Bastien

NPI #1013337625 in Gambrills, Maryland

Provider Information

NPI Number: 1013337625
Entity Type: Individual
Name: Nitchel Bastien
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Apr 22, 2014
Last Updated: Oct 4, 2024

Practice Location

Address: 983 WAUGH CHAPEL WAY STE E
City: Gambrills
State: Maryland
ZIP Code: 21054-1261
Phone: (410) 697-1360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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