Individual
DR. SANJU BASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
19 SUMMER STREET, ROCKLAND, ME 04841-9800
(207) 594-8353
Mailing address
19 SUMMER ST, ROCKLAND, ME 04841-2917
(207) 594-8353
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
016.0134141
VT
122300000X
Dentist
DEN.00203772
CO
122300000X
Dentist
Primary
DEN5002
ME
Other
Enumeration date
08/31/2018
Last updated
08/21/2023
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