DR. Ismael Bastida, DDS

NPI #1073526505 in Elmhurst, New York

Provider Information

NPI Number
1073526505
Entity Type
Individual
Name
DR. Ismael Bastida, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Aug 14, 2006
Last Updated
Apr 14, 2015

Practice Location

Address
4014 82ND ST
ZIP Code
11373-1305
Phone
(718) 397-7777

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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