# NEAL BASTIAN DDS MSD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bastian Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528907425
- **Authorized official:** DR. NEAL EDEN BASTIAN DDS (OWNER)
- **Authorized official phone:** (425) 385-2640

## Contact information

- **Practice address:** 15224 MAIN ST STE 302, MILL CREEK, WA 98012-7332
- **Practice address phone:** (425) 385-2641
- **Mailing address:** 15224 MAIN ST STE 302, MILL CREEK, WA 98012-7332
- **Mailing address phone:** (425) 385-2640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/26/2026
- **Last updated:** 04/01/2026