Individual
VINCENT BASHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
31 BEACH ST APT 906, BOSTON, MA 02111-1613
(857) 333-5481
Mailing address
31 BEACH ST APT 906, BOSTON, MA 02111-1613
(857) 333-5481
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DF11765
MA
Other
Enumeration date
06/28/2018
Last updated
09/13/2021
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