DR. Robert James Bastic II, D.D.S.

NPI #1811074040 in Appleton, Wisconsin

Provider Information

NPI Number: 1811074040
Entity Type: Individual
Name: DR. Robert James Bastic II, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Nov 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 335 E WISCONSIN AVE
City: Appleton
State: Wisconsin
ZIP Code: 54911-4821
Phone: (920) 734-1803

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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