Individual
DAVID L BASI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD PHD
Contact information
Practice address
515 DELAWARE ST SE, 7-174 MOOS TOWER, MINNEAPOLIS, MN 55455
(612) 624-4435
(612) 624-2669
Mailing address
2854 HIGHWAY 55, SUITE 130, EAGAN, MN 55121
(651) 842-3344
(651) 842-3391
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
D11692
MN
Other
Enumeration date
02/07/2006
Last updated
07/08/2007
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