Individual
MOHAMED ABO-BASHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2828 NW 30TH ST, OKLAHOMA CITY, OK 73112-7404
(405) 381-8109
Mailing address
2828 NW 30TH ST, OKLAHOMA CITY, OK 73112-7404
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8182
OK
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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