ADAM DE LA BASTIDE

MINEOLA, NY
NPI1376382978
Other NameADAM DELABASTIDE
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-05-22
Last Update Date2024-05-22
Business Address
ADAM DE LA BASTIDE DDS
200 OLD COUNTRY RD
MINEOLA, NY 11501-4235
Phone number: 516-663-2752
Mailing Address
ADAM DE LA BASTIDE DDS
2 DURHAM DR
DIX HILLS, NY 11746-5311
Phone number: 631-560-7811