Individual
DR. CHRISTOPHER BASILY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5301 N SOCRUM LOOP RD, LAKELAND, FL 33809-4256
(863) 343-4117
Mailing address
3701 W CARMEN ST UNIT 2, TAMPA, FL 33609-1336
(313) 703-3601
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN30333
FL
Other
Enumeration date
05/26/2025
Last updated
06/02/2025
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