Organization
BASTIDAS FAMILY DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA L BASTIDAS DMD (DENTIST)
(973) 857-0222
Entity
Organization
Contact information
Practice address
904 POMPTON AVE, SUITE A-1, CEDAR GROVE, NJ 07009-1262
(973) 857-0222
(973) 857-9508
Mailing address
904 POMPTON AVE, SUITE A-1, CEDAR GROVE, NJ 07009-1262
(973) 857-0222
(973) 857-9508
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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