Joseph Samuel Basile III DDS

NPI 1649484502 - Dentist - 1223X0400X

NPI Details
NPI 1649484502
Gender Male
Enumeration Date 05/10/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
17809 HUTCHINS DRIVE
SUITE 101
MINNETONKA MN, 55345, US
Phone (952) 474-3203
Fax (952) 474-3204
Business Location
17809 HUTCHINS DRIVE
SUITE 101
MINNETONKA MN, 55345, US
Phone (952) 474-3203
Fax (952) 474-3204
Toxanomy
Taxonomy Code 1223X0400X
License State Minnesota
License Number D10983
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According to our database, Dr. Joseph Samuel Basile III DDS NPI is 1649484502, taxonomy code is 1223X0400X and license number is D10983, license state is located at Minnesota. Joseph Samuel Basile III DDS physically located at 17809 Hutchins Drive, Minnetonka MN, 55345. NPI Number Joseph Samuel Basile III DDS has the Individual type.

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1649484502 NPI number is provided on an as is basis without warranty of any kind. 1649484502 is maintained by the National Plan & Provider Enumeration System. The contents of Joseph Samuel Basile III DDS are for informational purposes only.