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NPI Code Detail

MEDICARE: DR. ANTHONY BASIL D.D.S.

MEDICARE:  DR. ANTHONY  BASIL  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist8757NC

General Provider Information

NPI Number : 1881820447
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTHONY BASIL D.D.S.
Provider Business Mailing Address
First Line : 3535 SOUTH BALL STREET
Second Line : APT. 201
City : ARLINGTON
State : VA
Zip : 22202
Country : US
Telephone Number : 919-928-4314
Fax Number :
Provider Business Practice Location Address
First Line : 3535 S BALL ST
Second Line : APT. 201
City : ARLINGTON
State : VA
Zip : 22202-4426
Country : US
Telephone Number : 919-928-4314
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2009
Last Update Date : 06/09/2009

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Directions to “ DR. ANTHONY BASIL D.D.S.” Practice Location

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