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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
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist MD 11974