Individual
DOUGLAS A BASEHOAR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3259 CATLIN AVE, QUANTICO, VA 22134-5109
(703) 784-1528
Mailing address
3259 CATLIN AVE, QUANTICO, VA 22134-5109
(703) 784-1528
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007576
VA
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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