Individual
DR. CAROL WALKER BASSIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
CRC NIDCR NIH 10 CENTER DR, BLDG 10, RM 1N-118 MSC 1191, BETHESDA, MD 20892-0001
(301) 402-6822
(301) 402-9885
Mailing address
CRC NIDCR NIH 10 CENTER DR, BLDG 10, RM 1N-118 MSC 1191, BETHESDA, MD 20892-0001
(301) 402-6822
(301) 402-9885
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401411156
VA
Other
Enumeration date
04/16/2009
Last updated
04/16/2009
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