Andrew W Basta, DENTIST

NPI #1265421325 in Stamford, Connecticut

Provider Information

NPI Number: 1265421325
Entity Type: Individual
Name: Andrew W Basta, DENTIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DENTIST
Enumeration Date: Oct 20, 2005
Last Updated: Mar 16, 2008

Practice Location

Address: 130 MYRTLE AVE
Address 2: UNIT G
City: Stamford
State: Connecticut
ZIP Code: 06902-3932
Phone: (973) 632-7971

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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