Individual
CAROLINE W. L. BASTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
116 W STATE ROAD 434, WINTER SPRINGS, FL 32708-2551
(321) 765-4790
Mailing address
2044 WOOD THRUSH LN, WINTER PARK, FL 32792-3164
(702) 601-4714
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
24833
FL
122300000X
Dentist
7192
NV
122300000X
Dentist
Primary
DN24833
FL
Other
Enumeration date
06/11/2019
Last updated
01/29/2026
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