Individual
DR. ANTHONY P BASTULLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6801 MAYFIELD RD, #543, MAYFIELD HTS, OH 44124-2270
(440) 605-0456
Mailing address
6801 MAYFIELD RD, #543, MAYFIELD HTS, OH 44124-2270
(440) 605-0456
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
18192
OH
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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