ANDREW BASTA, DENTIST

Dentist

Active Individual
NPI: 1265421325

Practice Address

130 MYRTLE AVE
UNIT G
Stamford, CT 06902

Phone: (973) 632-7971

Specialties

Specialty Code Primary License
Dentist 122300000X No 0511631 (NY)

Frequently Asked Questions

NPI 1265421325 is the National Provider Identifier for ANDREW BASTA, DENTIST, a Dentist provider located in Stamford, CT. This NPI was enumerated on October 20, 2005.
ANDREW BASTA, DENTIST practices at 130 MYRTLE AVE, UNIT G, Stamford, CT 06902.

Quick Facts

NPI
1265421325
Type
Individual
Enumerated
Oct 20, 2005
Last Updated
Mar 16, 2008

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