Martha K Basile DDS

NPI 1053447458 - Dentist - 122300000X

NPI Details
NPI 1053447458
Gender Female
Enumeration Date 02/27/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
110 E WASHINGTON ST
MARENGO IL, 60152-3107, US
Phone (815) 568-1202
Fax
Business Location
110 E WASHINGTON ST
MARENGO IL, 60152-3107, US
Phone (815) 568-1202
Fax
Toxanomy
Taxonomy Code 122300000X
License State
License Number
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According to our database, Dr. Martha K Basile DDS NPI is 1053447458, taxonomy code is 122300000X Martha K Basile DDS physically located at 110 E Washington St, Marengo IL, 60152-3107. NPI Number Martha K Basile DDS has the Individual type.

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1053447458 NPI number is provided on an as is basis without warranty of any kind. 1053447458 is maintained by the National Plan & Provider Enumeration System. The contents of Martha K Basile DDS are for informational purposes only.