Individual
DR. SUKHJEET KAUR BASRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
17128 FORT ST, RIVERVIEW, MI 48192-6619
(734) 281-3200
Mailing address
17128 FORT ST, RIVERVIEW, MI 48192-6619
(734) 281-3200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18556
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4634322
—
MI
01
—
D185560
BLUE CROSS BLUE SHIELD
MI
Enumeration date
07/11/2005
Last updated
11/20/2007
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