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Provider Information for 1689796609



DR. BASIL SAIEDY DDS

Gender: MALE

Individual NPI: 1689796609

Calendar Last Updated: 2007-07-08

Details

Name Value
NPI 1689796609
Enumeration Date 2007-04-03
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 6100 DAY LONG LANE SUITE 101
CLARKSVILLE, MD 21029
United States

Phone: 410-531-7100 | Fax: 410-531-4958
View Map External Link
Primary Practice Address 6100 DAY LONG LANE SUITE 101
CLARKSVILLE, MD 21029
United States

Phone: 410-531-7100 | Fax: 410-531-4958
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist MD 11974
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location