Individual
MOHAMED ALI BASHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
260 E CENTRAL ST, FRANKLIN, MA 02038-1319
(646) 515-7162
Mailing address
260 E CENTRAL ST, FRANKLIN, MA 02038-1319
(646) 515-7162
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858515
MA
Other
Enumeration date
10/27/2019
Last updated
10/27/2019
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