# BASTIDAS FAMILY DENTISTRY, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649394230
- **Authorized official:** DR. PATRICIA L BASTIDAS DMD (DENTIST)
- **Authorized official phone:** (973) 857-0222

## Contact information

- **Practice address:** 904 POMPTON AVE, SUITE A-1, CEDAR GROVE, NJ 07009-1262
- **Practice address phone:** (973) 857-0222
- **Practice address fax:** (973) 857-9508
- **Mailing address:** 904 POMPTON AVE, SUITE A-1, CEDAR GROVE, NJ 07009-1262
- **Mailing address phone:** (973) 857-0222
- **Mailing address fax:** (973) 857-9508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 08/22/2020