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1073526505
ISMAEL BASTIDA
ELMHURST, NY
NPI
1073526505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 052687)
Enumeration Date
2006-08-14
Last Update Date
2015-04-14
Business Address
Dr. ISMAEL BASTIDA DDS
4014 82ND ST
ELMHURST, NY 11373-1305
Phone number: 718-397-7777
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Mailing Address
Dr. ISMAEL BASTIDA DDS
4014 82ND ST
ELMHURST, NY 11373-1305
Phone number: 718-397-7777
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