Individual
DR. KENNETH L BASEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7029 PEARL RD SUITE 320, MIDDLEBURG HTS, OH 44130
(440) 842-5757
Mailing address
7029 PEARL RD SUITE 320, MIDDLEBURG HTS, OH 44130
(440) 842-5757
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14042
OH
Other
Enumeration date
09/05/2008
Last updated
09/05/2008
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