ROBERT W BASALLA

BEREA, OH
NPI1073631065
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OH  30016665)
Enumeration Date2007-03-27
Last Update Date2007-07-08
Business Address
Dr. ROBERT W BASALLA DDS
347 FRONT STREET
BEREA, OH 44017
Phone number: 440-243-2600
Mailing Address
Dr. ROBERT W BASALLA DDS
347 FRONT STREET
BEREA, OH 44017
Phone number: 440-243-2600