DR. Jorge A. Bastidas, DMD

NPI #1396869061 in Cedar Grove, New Jersey

Provider Information

NPI Number: 1396869061
Entity Type: Individual
Name: DR. Jorge A. Bastidas, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Mar 19, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 904 POMPTON AVE
Address 2: SUITE A-1
City: Cedar Grove
State: New Jersey
ZIP Code: 07009-1262
Phone: (973) 857-0222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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