DR. David C Bastacky, DMD

NPI #1164429387 in Baltimore, Maryland

Provider Information

NPI Number: 1164429387
Entity Type: Individual
Name: DR. David C Bastacky, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Oral & Maxillofacial Surgery
Credential: DMD
Enumeration Date: Jul 1, 2005
Last Updated: Sep 2, 2021

Practice Location

Address: 516 N ROLLING RD
Address 2: SUITE 104
City: Baltimore
State: Maryland
ZIP Code: 21228-4140
Phone: (410) 744-4222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Oral & Maxillofacial Surgery	204E00000X	Primary

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