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1376382978
ADAM DE LA BASTIDE
MINEOLA, NY
NPI
1376382978
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Other Name
ADAM DELABASTIDE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-05-22
Last Update Date
2024-05-22
Business Address
ADAM DE LA BASTIDE DDS
200 OLD COUNTRY RD
MINEOLA, NY 11501-4235
Phone number: 516-663-2752
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Mailing Address
ADAM DE LA BASTIDE DDS
2 DURHAM DR
DIX HILLS, NY 11746-5311
Phone number: 631-560-7811
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