Individual
FARAH BASHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9619 ROYAL FERN CT, TAMPA, FL 33647-3282
(813) 777-3296
Mailing address
9619 ROYAL FERN CT, TAMPA, FL 33647-3282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
32105
FL
Other
Enumeration date
06/26/2026
Last updated
06/26/2026
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