Individual
LAILA BASHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 N LEAVITT RD, AMHERST, OH 44001-1124
(440) 984-3840
Mailing address
2007 MAPLERIDGE RD, ROCHESTER HILLS, MI 48309-2750
(248) 872-2757
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2901601778
MI
1223G0001X
General Practice Dentistry
Primary
30.027809
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2023
Last updated
02/03/2025
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