Individual
DR. GILL BERNARD BASTIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
462 PLAIN ST, MARSHFIELD, MA 02050-2731
(781) 837-3700
(781) 837-4201
Mailing address
41 TANGLEWOOD TRL, DUXBURY, MA 02332-2910
(781) 834-8261
(781) 837-4201
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10851
MA
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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