BASISTA & ELDRIDGE DDS PA

FORT MYERS, FL
NPI1881766392
Entity TypeOrganization
Authorized ContactMICHAEL JOHN BASISTA
President Treasurer
239-936-3866
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2006-11-14
Last Update Date2020-08-22
Business Address
BASISTA & ELDRIDGE DDS PA
2454 WINKLER AVE
FORT MYERS, FL 33901
Phone number: 239-936-3866
Mailing Address
BASISTA & ELDRIDGE DDS PA
2454 WINKLER AVE
FORT MYERS, FL 33901
Phone number: 239-936-3866
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