DR. Diane Bastiani, D.M.D.
NPI #1083834881 in Brookfield, Connecticut
Provider Information
- NPI Number
- 1083834881
- Entity Type
- Individual
- Name
- DR. Diane Bastiani, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Apr 26, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2 OLD NEW MILFORD RD
- Address 2
- SUITE 3D
- City
- Brookfield
- State
- Connecticut
- ZIP Code
- 06804-2426
- Phone
- (203) 775-6202
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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