Individual
JOE BASTADJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
205 E 64TH ST, SUITE # 403, NEW YORK, NY 10021-6635
(212) 832-6440
Mailing address
330 E 38TH ST, APT 12 A, NEW YORK, NY 10016-2759
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
046799
NY
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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