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1942863477
TINA BASTAR
WOODLAND HILLS, CA
NPI
1942863477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: CA 103889)
Enumeration Date
2019-04-19
Last Update Date
2021-08-30
Business Address
TINA BASTAR DDS
19963 VENTURA BLVD
WOODLAND HILLS, CA 91364-2631
Phone number: 818-703-0234
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Mailing Address
TINA BASTAR DDS
6148 CORAL PINK CIR
WOODLAND HILLS, CA 91367-7208
Phone number: 949-466-8550
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