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Individual

JOHN A BASILE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
125 E PIKE ST, HOUSTON, PA 15342-1710
(724) 746-5222
(724) 746-9174
Mailing address
125 E PIKE ST, HOUSTON, PA 15342-1710
(724) 746-5222
(724) 746-9174

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS025877L
PA

Other

Enumeration date
01/18/2007
Last updated
03/22/2011
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