Individual
BASMA SHENODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
635 ALBANY ST, BOSTON, MA 02118-3550
(617) 358-8300
Mailing address
13401 SUMMERLIN RD STE B, FORT MYERS, FL 33919-6592
(813) 288-1999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30998
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
11/17/2025
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