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1144515800
DIANA S BASS
GASTONIA, NC
NPI
1144515800
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NC 9106)
Enumeration Date
2011-06-10
Last Update Date
2020-08-13
Business Address
DIANA S BASS dds
219B WILMOT DR
GASTONIA, NC 28054-4048
Phone number: 704-864-9949
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Mailing Address
DIANA S BASS dds
219B WILMOT DR
GASTONIA, NC 28054-4048
Phone number: 704-864-9949
Copy
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