David Bastianelli, Dds, Pllc | |
522 E Lincoln St Birmingham MI 48009-1791 | |
(248) 644-6688 | |
(248) 644-3470 |
Full Name | David Bastianelli, Dds, Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 522 E Lincoln St, Birmingham, Michigan |
Authorized Official Name and Position | Cherie Ann Martin (OFFICE MANAGER) |
Authorized Official Contact | 2486446688 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
David Bastianelli, Dds, Pllc 522 E Lincoln St Birmingham MI 48009-1791 Ph: (248) 644-6688 | David Bastianelli, Dds, Pllc 522 E Lincoln St Birmingham MI 48009-1791 Ph: (248) 644-6688 |
NPI Number | 1609233402 |
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Provider Enumeration Date | 01/25/2016 |
Last Update Date | 01/25/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609233402 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 135470 (Michigan) | Primary |
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