DR. Thomas Luke Bashaw, D.D.S.

NPI #1922065416 in Elk River, Minnesota

Provider Information

NPI Number: 1922065416
Entity Type: Individual
Name: DR. Thomas Luke Bashaw, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Apr 27, 2006
Last Updated: Aug 19, 2014

Practice Location

Address: 710 DODGE AVE NW
Address 2: SUITE B
City: Elk River
State: Minnesota
ZIP Code: 55330-2019
Phone: (763) 441-3922

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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