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1053432849
ANTHONY P BASTULLI
MAYFIELD HTS, OH
NPI
1053432849
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223E0200X Dentist Endodontics
(Licence: OH 18192)
Enumeration Date
2007-04-02
Last Update Date
2007-07-08
Business Address
DR. ANTHONY P BASTULLI DDS
6801 MAYFIELD RD #543
MAYFIELD HTS, OH 44124-2270
Phone number: 440-605-0456
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Mailing Address
DR. ANTHONY P BASTULLI DDS
6801 MAYFIELD RD #543
MAYFIELD HTS, OH 44124-2270
Phone number: 440-605-0456
Copy
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