Organization
GUMCARE AND IMPLANT SPECIALISTS LLC - DR. BASTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARIM BASTA (OWNER)
(330) 494-7004
Entity
Organization
Contact information
Practice address
4410 EXECUTIVE CIR NW # A, CANTON, OH 44718-2983
(330) 349-7004
Mailing address
4410 EXECUTIVE CIR NW # A, CANTON, OH 44718-2983
(330) 349-7004
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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