ANDREW W BASTA

STAMFORD, CT
NPI1265421325
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CT  009302)
Additional Taxonomies122300000X Dentist
(Licence: NY  0511631)
Enumeration Date2005-10-20
Last Update Date2008-03-16
Business Address
ANDREW W BASTA DENTIST
130 MYRTLE AVE UNIT G
STAMFORD, CT 06902-3932
Phone number: 973-632-7971
Mailing Address
ANDREW W BASTA DENTIST
130 MYRTLE AVE UNIT G
STAMFORD, CT 06902-3932
Phone number: 973-632-7971
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