Organization
BASHIRUDDIN USAMA DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASHIRUDDIN USAMA DDS (PRESIDENT)
(216) 382-0040
Entity
Organization
Contact information
Practice address
5 SEVERANCE CIR, SUITE 209, CLEVELAND HEIGHTS, OH 44118-1566
(216) 382-0040
Mailing address
5 SEVERANCE CIR, SUITE 209, CLEVELAND HEIGHTS, OH 44118-1566
(216) 382-0040
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30014220
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0243703
—
OH
Enumeration date
11/16/2005
Last updated
08/22/2020
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