CAROLINE BASTA

ORLANDO, FL
NPI1003475161
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: FL  24833)
Additional Taxonomies122300000X Dentist
(Licence: NV  7192)
Enumeration Date2019-06-11
Last Update Date2020-05-12
Business Address
CAROLINE BASTA D.D.S.
4401 S ORANGE AVE STE 106
ORLANDO, FL 32806-6969
Phone number: 407-851-2255
Mailing Address
CAROLINE BASTA D.D.S.
2300 E SILVERADO RANCH BLVD UNIT 2165
LAS VEGAS, NV 89183-3978
Phone number: 702-601-4714
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