Bastidas, Jairo
Bastidas, Jairo is an sole proprietor health care provider with primary practice located at 111 E 210Th St , Bronx NY 10467-2401. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bastidas, Jairo can be contacted via phone (718) 920-4167.Contact Information
Primary practice address
111 E 210Th St
Bronx NY 10467-2401
Phone: (718) 920-4167
Fax: (718) 515-5419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 041328 | New York |
Profile Details
| NPI number | 1780763300 |
|---|---|
| LBN Legal business name | Bastidas, Jairo |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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