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1811074040
ROBERT JAMES BASTIC
APPLETON, WI
NPI
1811074040
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 2373)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
Dr. ROBERT JAMES BASTIC D.D.S.
335 E WISCONSIN AVE
APPLETON, WI 54911-4821
Phone number: 920-734-1803
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Mailing Address
Dr. ROBERT JAMES BASTIC D.D.S.
3601 N MEADOWSWEET LN
APPLETON, WI 54911-8564
Phone number: 920-734-1803
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