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1073679742
JOHN STAFFORD BASTIAN
HENDERSONVILLE, TN
NPI
1073679742
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TN DS3874)
Enumeration Date
2006-12-28
Last Update Date
2007-07-08
Business Address
DR. JOHN STAFFORD BASTIAN DDS
734 E MAIN ST
HENDERSONVILLE, TN 37075-2609
Phone number: 615-824-6804
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Mailing Address
DR. JOHN STAFFORD BASTIAN DDS
734 E MAIN ST
HENDERSONVILLE, TN 37075-2609
Phone number: 615-824-6804
Copy
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