Individual
BASHAYER MULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
520 N 12TH ST FL 4, RICHMOND, VA 23298-5064
(804) 828-6083
Mailing address
5000 LIBBIE MILL EAST BLVD, RICHMOND, VA 23230-2157
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0442000599
VA
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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