Individual
DR. JOSEPH SAMUEL BASILE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
17809 HUTCHINS DRIVE, SUITE 101, MINNETONKA, MN 55345
(952) 474-3203
(952) 474-3204
Mailing address
17809 HUTCHINS DRIVE, SUITE 101, MINNETONKA, MN 55345
(952) 474-3203
(952) 474-3204
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D10983
MN
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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