DR. JAIRO BASTIDAS, DMD

Dentist - Oral and Maxillofacial Surgery

Active Individual
NPI: 1780763300

Practice Address

111 E 210TH ST
Bronx, NY 10467

Phone: (718) 920-4167

Specialties

Specialty Code Primary License
Dentist - Oral and Maxillofacial Surgery 1223S0112X Yes 041328 (NY)

Frequently Asked Questions

NPI 1780763300 is the National Provider Identifier for DR. JAIRO BASTIDAS, DMD, a Dentist - Oral and Maxillofacial Surgery provider located in Bronx, NY. This NPI was enumerated on November 3, 2006.
DR. JAIRO BASTIDAS, DMD practices at 111 E 210TH ST, Bronx, NY 10467.

Quick Facts

NPI
1780763300
Type
Individual
Enumerated
Nov 3, 2006
Last Updated
Jul 8, 2007

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