Individual
NITCHEL BASTIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
983 WAUGH CHAPEL WAY STE E, GAMBRILLS, MD 21054-1261
(410) 697-1360
Mailing address
983 WAUGH CHAPEL WAY STE E, GAMBRILLS, MD 21054-1261
(410) 697-1360
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16898
MD
Other
Enumeration date
04/22/2014
Last updated
10/04/2024
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