ISMAEL BASTIDA

ELMHURST, NY
NPI1073526505
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  052687)
Enumeration Date2006-08-14
Last Update Date2015-04-14
Business Address
Dr. ISMAEL BASTIDA DDS
4014 82ND ST
ELMHURST, NY 11373-1305
Phone number: 718-397-7777
Mailing Address
Dr. ISMAEL BASTIDA DDS
4014 82ND ST
ELMHURST, NY 11373-1305
Phone number: 718-397-7777
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