Robert W Basalla DDS

NPI 1073631065 - Dentist - 1223G0001X

NPI Details
NPI 1073631065
Gender Male
Enumeration Date 03/27/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
347 FRONT STREET
BEREA OH, 44017, US
Phone (440) 243-2600
Fax
Business Location
347 FRONT STREET
BEREA OH, 44017, US
Phone (440) 243-2600
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Ohio
License Number 30016665
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According to our database, Dr. Robert W Basalla DDS NPI is 1073631065, taxonomy code is 1223G0001X and license number is 30016665, license state is located at Ohio. Robert W Basalla DDS physically located at 347 Front Street, Berea OH, 44017. NPI Number Robert W Basalla DDS has the Individual type.

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1073631065 NPI number is provided on an as is basis without warranty of any kind. 1073631065 is maintained by the National Plan & Provider Enumeration System. The contents of Robert W Basalla DDS are for informational purposes only.