Organization
BASHA DENTAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMAR BASHA (DDS, OWNER)
(586) 997-9999
Entity
Organization
Contact information
Practice address
1756 N TELEGRAPH RD, DEARBORN, MI 48128-1271
(586) 997-9999
Mailing address
1756 N TELEGRAPH RD, DEARBORN, MI 48128-1271
(586) 997-9999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19207
MI
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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