Individual
DR. JOHN ROBERT BASILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, DMSC.
Contact information
Practice address
650 W BALTIMORE ST, 7-NORTH, BALTIMORE, MD 21201-1510
(410) 706-7936
(410) 706-0519
Mailing address
650 W BALTIMORE ST, 7-NORTH, BALTIMORE, MD 21201-1510
(410) 706-7936
(410) 706-0519
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
11284
MD
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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