| Bastidas Family Dentistry, Pa | |
|
904 Pompton Ave Suite A-1 Cedar Grove NJ 07009-1262 | |
| (973) 857-0222 | |
| (973) 857-9508 |
| Full Name | Bastidas Family Dentistry, Pa |
|---|---|
| Speciality | Dentist |
| Location | 904 Pompton Ave, Cedar Grove, New Jersey |
| Authorized Official Name and Position | Patricia L Bastidas (DENTIST) |
| Authorized Official Contact | 9738570222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bastidas Family Dentistry, Pa 904 Pompton Ave Suite A-1 Cedar Grove NJ 07009-1262 Ph: (973) 857-0222 | Bastidas Family Dentistry, Pa 904 Pompton Ave Suite A-1 Cedar Grove NJ 07009-1262 Ph: (973) 857-0222 |
| NPI Number | 1649394230 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649394230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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