Damaris Bastian, D.D.S

NPI 1518218353 · on the registry since 2012

Practice

Address: 101 Devant St Ste 404
Fayetteville, GA 30214
Phone: (678) 884-5352
Organisation at this address: S R Holdings Llc
C H Martin Company
Robert L Clemons Ii
Priority Hospice Llc
Caedel Wellness Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 23

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Also registered as: 1223G0001X
Licence states on file: GA, LA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-11-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia