Individual
WILLIAM HENRY BASIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
222 ADAMS ST, BURLINGTON, WI 53105
(262) 763-8900
(262) 763-9122
Mailing address
222 ADAMS ST, PO BOX 441, BURLINGTON, WI 53105
(262) 763-8900
(262) 763-9122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2030G
WI
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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