Individual
DR. BARKLEY THOMAS BASTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
81 MAKAWAO AVE, SUITE 101, MAKAWAO, HI 96768-8895
(808) 572-9461
(808) 572-8323
Mailing address
81 MAKAWAO AVE, SUITE 101, MAKAWAO, HI 96768-8895
(808) 572-9461
(808) 572-8323
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DT1846
HI
Other
Enumeration date
02/16/2009
Last updated
02/16/2009
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