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1043499650
BRYAN D BASOM
CHILLICOTHE, OH
NPI
1043499650
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OH 30.022613)
Enumeration Date
2007-10-31
Last Update Date
2010-09-15
Business Address
Dr. BRYAN D BASOM D.D.S.
11 MEDICAL DR
CHILLICOTHE, OH 45601-8603
Phone number: 740-775-8050
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Mailing Address
Dr. BRYAN D BASOM D.D.S.
11 MEDICAL DR
CHILLICOTHE, OH 45601-8603
Phone number: 740-775-8050
Copy
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