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-- DAVID L BASI -- DMD PhD

Individual Provider (NPI-1) Active

Oral & Maxillofacial Surgery

Provider Information

NPI Number
1104898626
Provider Type
Individual Provider (NPI-1)
Credentials
DMD PhD
Status
Active

Contact & Location

Address
515 DELAWARE ST SE 7-174 MOOS TOWER, MINNEAPOLIS, MN, 55455
Phone
(612) 624-4435
Fax
(612) 624-2669

Specialties & Taxonomies

Oral & Maxillofacial Surgery Primary License: MN #D11692

All Addresses

MAILING

2854 HIGHWAY 55 SUITE 130

EAGAN, MN, 55121

(651) 842-3344

LOCATION

515 DELAWARE ST SE 7-174 MOOS TOWER

MINNEAPOLIS, MN, 55455

(612) 624-4435