Thomas a Base Dmd

NPI #1235404492 in Portland, Oregon

Provider Information

NPI Number: 1235404492
Entity Type: Organization
Organization Name: Thomas a Base Dmd
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 20, 2012
Last Updated: Mar 20, 2012

Practice Location

Address: 10420 NE WASCO ST
City: Portland
State: Oregon
ZIP Code: 97220-3928
Phone: (503) 256-2090

Authorized Official

Name: DR. THOMAS A BASE, D.M.D.
Title: OWNER/DENTIST
Phone: (503) 256-2090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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