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JOHN A BASILE D.D.S

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1346392297

Individual Registrant:
 JOHN A BASILE D.D.S
Gender: M
Sole Proprietor

Location and contact information for practice:
125 E PIKE ST  HOUSTON, PA 15342-1710 US
Tel: 724-746-5222  Fax: 724-746-9174

Contact information for business:
125 E PIKE ST  HOUSTON, PA 15342-1710 US
Tel: 724-746-5222  Fax: 724-746-9174

Registration Information:
NPI: 1346392297
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
PADS025877L

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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