Makenna Paige Basore, DMD

NPI #1093450769 in Malmstrom Afb, Montana

Provider Information

NPI Number: 1093450769
Entity Type: Individual
Name: Makenna Paige Basore, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Apr 28, 2022
Last Updated: Aug 21, 2023

Practice Location

Address: 7300 N PERIMETER RD
City: Malmstrom Afb
State: Montana
ZIP Code: 59402-6701
Phone: (406) 731-2511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist	122300000X	Primary

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