Individual
DR. ROGER F BASHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
234 SEVEN FARMS DR, SUITE 200, DANIEL ISLAND, SC 29492-8107
(843) 284-4444
(843) 284-4446
Mailing address
234 SEVEN FARMS DR, SUITE 200, DANIEL ISLAND, SC 29492-8107
(843) 284-4444
(843) 284-4446
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3471
SC
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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