Individual
MS. SABRINA LATRICE BASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H
Contact information
Practice address
7633 E JEFFERSON AVE STE 70, DETROIT, MI 48214-3730
(313) 499-4775
Mailing address
8630 N INKSTER RD APT 105, DEARBORN HEIGHTS, MI 48127-1066
(313) 587-2873
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902015255
MI
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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