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Individual

BASHEER HASAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
373 BROADWAY, CHELSEA, MA 02150-2809
(617) 887-0600
(508) 919-8099
Mailing address
373 BROADWAY, CHELSEA, MA 02150-2809
(810) 428-7064
(508) 919-8099

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1860050
MA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/31/2023
Last updated
12/15/2023
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