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Individual

DR. FIRDOSE BASHA KAMAL BASHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BDS

Contact information

Practice address
45 DIMOCK STREET, RICHARDS BUILDING, ROXBURY, MA 02119
(617) 442-8800
(617) 442-4088
Mailing address
246 ELM ST, MANSFIELD, MA 02048-2619
(857) 526-1090

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DL14732
MA
122300000X
Dentist
Primary
DN30102
FL

Other

Enumeration date
04/30/2018
Last updated
10/29/2025
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