RISA A BASTIEN

APO, AP
NPI1891997474
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: OK  5403)
Additional Taxonomies122300000X Dentist
(Licence: MO  015317)
Enumeration Date2007-06-05
Last Update Date2008-04-20
Business Address
Dr. RISA A BASTIEN DDS
18TH DENTAL SQUADRON, KADENA AIR BASE
APO, AP 96367
Phone number: 0118198-630-4011
Mailing Address
Dr. RISA A BASTIEN DDS
PSC 80, BOX 13863
APO, AP 96367
Phone number:
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