Kenneth L Basel Dds Inc | |
7029 Pearl Rd Suite 320 Middleburg Heights OH 44130 | |
(440) 842-5757 | |
(440) 842-5795 |
Full Name | Kenneth L Basel Dds Inc |
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Speciality | Dentist |
Location | 7029 Pearl Rd, Middleburg Heights, Ohio |
Authorized Official Name and Position | Kenneth L Basel (PRESIDENT DENTIST) |
Authorized Official Contact | 4408425757 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kenneth L Basel Dds Inc 7029 Pearl Rd Suite 320 Middleburg Heights OH 44130 Ph: (440) 842-5757 | Kenneth L Basel Dds Inc 7029 Pearl Rd Suite 320 Middleburg Heights OH 44130 Ph: (440) 842-5757 |
NPI Number | 1558561779 |
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Provider Enumeration Date | 07/25/2007 |
Last Update Date | 07/25/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558561779 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 14042 (Ohio) | Primary |
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