David Bastianelli, Dds, Pllc
NPI #1609233402 in Birmingham, Michigan
Provider Information
- NPI Number
- 1609233402
- Entity Type
- Organization
- Organization Name
- David Bastianelli, Dds, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 25, 2016
- Last Updated
- Jan 25, 2016
Practice Location
- Address
- 522 E LINCOLN ST
- City
- Birmingham
- State
- Michigan
- ZIP Code
- 48009-1791
- Phone
- (248) 644-6688
Authorized Official
- Name
- MRS. CHERIE ANN MARTIN
- Title
- OFFICE MANAGER
- Phone
- (248) 644-6688
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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