DR. Robert W Basalla, DDS

NPI #1073631065 in Berea, Ohio

Provider Information

NPI Number
1073631065
Entity Type
Individual
Name
DR. Robert W Basalla, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Mar 27, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
347 FRONT STREET
City
Berea
State
Ohio
ZIP Code
44017
Phone
(440) 243-2600

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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