Individual
DORIS BASALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13027 ANTHORNE LN, BOYNTON BEACH, FL 33436-2202
(216) 926-9204
Mailing address
13027 ANTHORNE LN, BOYNTON BEACH, FL 33436-2202
(216) 926-9204
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
062279
NY
1223E0200X
Endodontics
Primary
DN28138
FL
Other
Enumeration date
04/14/2016
Last updated
06/19/2023
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