Leon B Bastajian, DDS

NPI #1639155831 in Watertown, Massachusetts

Provider Information

NPI Number: 1639155831
Entity Type: Individual
Name: Leon B Bastajian, DDS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 20, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 521 MOUNT AUBURN ST
Address 2: STE 207
City: Watertown
State: Massachusetts
ZIP Code: 02472-4159
Phone: (617) 926-1146

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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