Individual
DR. JOANN MAROLD BASSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
235 1/2 CHESTNUT ST, VIRGINIA, MN 55792-2510
(218) 741-0203
Mailing address
PO BOX 970, VIRGINIA, MN 55792-0970
(218) 741-0203
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8639
MN
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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