DR. Martha K Basile, DDS

NPI #1053447458 in Marengo, Illinois

Provider Information

NPI Number: 1053447458
Entity Type: Individual
Name: DR. Martha K Basile, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Feb 27, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 110 E WASHINGTON ST
City: Marengo
State: Illinois
ZIP Code: 60152-3107
Phone: (815) 568-1202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

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