Individual
DR. BASIL ANDIJANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
100 E NEWTON ST, BOSTON, MA 02118-2308
(617) 638-4683
(617) 638-5033
Mailing address
100 E NEWTON ST, BOSTON, MA 02118-2308
(617) 638-4683
(617) 638-5033
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/29/2016
Last updated
07/30/2016
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