Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Prescriptions Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
101 DEVANT ST STE 404
FAYETTEVILLE, GA 30214-2713 US

Damaris Derece Bastian

General Dentist


Overview

Damaris Derece Bastian is a General Dentist in the FAYETTEVILLE area. Damaris Derece Bastian primary office location is at 101 DEVANT ST STE 404 and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1518218353 and the information was updated approximately 4 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: NO

Contact Information

Primary Practice Location Information
101 DEVANT ST STE 404
FAYETTEVILLE, GA 30214-2713 US
Phone: (678)-884-5352
Fax:
Practice Mailing Information
101 DEVANT ST STE 404
FAYETTEVILLE, GA 30214-2713 US
Phone: (678)-884-5352
Fax:
License NumberState
5087LA
DN015482GA

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