JAIRO BASTIDAS

BRONX, NY
NPI1780763300
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: NY  041328)
Enumeration Date2006-11-03
Last Update Date2007-07-08
Business Address
Dr. JAIRO BASTIDAS DMD
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4167
Mailing Address
Dr. JAIRO BASTIDAS DMD
90 PALISADE AVE
WHITE PLAINS, NY 10607-2725
Phone number: 718-920-4167
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