Organization
PETER A BASSETT, DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER A BASSETT SR. DMD (OWNER)
(623) 435-2300
Entity
Organization
Contact information
Practice address
9035 N 43RD AVE STE C, PHOENIX, AZ 85051-3265
(623) 435-2300
(623) 435-1700
Mailing address
9035 N 43RD AVE STE C, PHOENIX, AZ 85051-3265
(623) 435-2300
(623) 435-1700
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
2176
AZ
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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