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Organization

BASHA DENTAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMAR KOUJAN-BASHA DDS (OWNER)
(586) 323-1100
Entity
Organization

Contact information

Practice address
43455 SCHOENHERR RD, SUITE 1, STERLING HEIGHTS, MI 48313-1951
(586) 323-1100
(586) 323-1141
Mailing address
43455 SCHOENHERR RD, STERLING HEIGHTS, MI 48313-1951
(586) 323-1100
(586) 323-1141

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
05/15/2014
Last updated
10/19/2020
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