Bastar, Tina
Bastar, Tina is an sole proprietor health care provider with primary practice located at 19963 Ventura Blvd , Woodland Hills CA 91364-2631. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Bastar, Tina can be contacted via phone (818) 703-0234.Contact Information
Primary practice address
19963 Ventura Blvd
Woodland Hills CA 91364-2631
Phone: (818) 703-0234
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 103889 | California |
Profile Details
| NPI number | 1942863477 |
|---|---|
| LBN Legal business name | Bastar, Tina |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2019 |
| Last updated | Aug 30th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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