Individual
DR. SAMAR KOUJAN BASHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
43455 SCHOENHERR RD STE 1, STERLING HEIGHTS, MI 48313-1973
(586) 323-1100
(586) 323-1141
Mailing address
2007 MAPLERIDGE, ROCHESTER HILLS, MI 48309
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901019207
MI
Other
Enumeration date
01/09/2007
Last updated
03/13/2020
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