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1104898626
DAVID L BASI
MINNEAPOLIS, MN
NPI
1104898626
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
204E00000X Oral & Maxillofacial Surgery
(Licence: MN D11692)
Enumeration Date
2006-02-07
Last Update Date
2007-07-08
Business Address
DAVID L BASI DMD PHD
515 DELAWARE ST SE 7-174 MOOS TOWER
MINNEAPOLIS, MN 55455
Phone number: 612-624-4435
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Mailing Address
DAVID L BASI DMD PHD
2854 HIGHWAY 55 SUITE 130
EAGAN, MN 55121
Phone number: 651-842-3344
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