Individual
TAMARA BASHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1036 BRIGHTON AVE STE A, PORTLAND, ME 04102-1053
(207) 772-4359
Mailing address
1036 BRIGHTON AVE STE A, PORTLAND, ME 04102-1053
(207) 772-4359
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN5169
ME
Other
Enumeration date
06/30/2019
Last updated
08/19/2025
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