Individual
DR. S M HASSAN BASHIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MS
Contact information
Practice address
203 LAKEVIEW DR, FAIRFIELD BAY, AR 72088
(501) 884-3200
Mailing address
203 LAKEVIEW DR, FAIRFIELD BAY, AR 72088
(501) 884-3200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2543
AR
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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