Individual
CARLTON BASKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4727 BRAINERD RD, CHATTANOOGA, TN 37411-3847
(423) 622-4869
Mailing address
208 INTEGRA VISTAS DR APT 312, HIXSON, TN 37343-5450
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11459
TN
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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