Bassilleann P.a.
NPI #1962684696 in Clearwater, Minnesota
Provider Information
- NPI Number
- 1962684696
- Entity Type
- Organization
- Organization Name
- Bassilleann P.a.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 5, 2007
- Last Updated
- Dec 5, 2007
Practice Location
- Address
- 505 N. WALNUT STREET
- City
- Clearwater
- State
- Minnesota
- ZIP Code
- 55320
- Phone
- (320) 558-6810
Authorized Official
- Name
- MRS. ANNE MARIE MEYER
- Title
- ADMINISTRATION
- Phone
- (320) 558-6810
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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