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1164429387
DAVID C BASTACKY
BALTIMORE, MD
NPI
1164429387
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
204E00000X Oral & Maxillofacial Surgery
(Licence: MD 10337)
Enumeration Date
2005-07-01
Last Update Date
2021-09-02
Business Address
Dr. DAVID C BASTACKY DMD
516 N ROLLING RD SUITE 104
BALTIMORE, MD 21228-4140
Phone number: 410-744-4222
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Mailing Address
Dr. DAVID C BASTACKY DMD
516 N ROLLING RD SUITE 104
BALTIMORE, MD 21228-4140
Phone number: 410-744-4222
Copy
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