Individual
DR. JOSEPH ROBERT BASNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
101 E 6TH ST, FULTON, MO 65251-1943
(573) 642-1210
Mailing address
101 E 6TH ST, FULTON, MO 65251-1943
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2013045117
MO
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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