DR DAMARIS BASTIAN GEN.DENT. LLC

FAYETTEVILLE, GA
NPI1609089002
Entity TypeOrganization
Authorized ContactDAMARIS DERECE BASTIAN
Owner
678-884-5352
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: LA  5087)
Enumeration Date2007-05-08
Last Update Date2021-11-08
Business Address
DR DAMARIS BASTIAN GEN.DENT. LLC
101 DEVANT ST STE 404
FAYETTEVILLE, GA 30214-2713
Phone number: 678-884-5352
Mailing Address
DR DAMARIS BASTIAN GEN.DENT. LLC
101 DEVANT ST STE 404
FAYETTEVILLE, GA 30214-2713
Phone number: 678-884-5352
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