Individual
DR. BRYAN D BASOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11 MEDICAL DR, CHILLICOTHE, OH 45601-8603
(740) 775-8050
(740) 775-8053
Mailing address
11 MEDICAL DR, CHILLICOTHE, OH 45601-8603
(740) 775-8050
(740) 775-8053
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.022613
OH
Other
Enumeration date
10/31/2007
Last updated
09/15/2010
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