Individual
DR. CHRISTOPHER BASIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5373 E VILLAGE RD, SUITE C, LONG BEACH, CA 90808-1600
(562) 429-5965
(562) 429-7318
Mailing address
5373 E VILLAGE RD, SUITE C, LONG BEACH, CA 90808-1600
(562) 429-5965
(562) 429-7318
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
032268
CA
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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