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1689693087
BRIAN T. BAST
SAN FRANCISCO, CA
NPI
1689693087
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: CA A77023)
Enumeration Date
2006-07-18
Last Update Date
2007-07-09
Business Address
Dr. BRIAN T. BAST DMD, MD
513 PARNASSUS AVE RM S738
SAN FRANCISCO, CA 94143-2205
Phone number: 415-476-3242
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Mailing Address
Dr. BRIAN T. BAST DMD, MD
1635 DIVISADERO ST SUITE 625, BOX 1821
SAN FRANCISCO, CA 94143-0001
Phone number: 415-476-4029
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