Individual
MOHAMED BASHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
301 W 6TH AVE, DENVER, CO 80204-5182
(303) 436-6000
Mailing address
4071 S ODESSA CIR, AURORA, CO 80013-7480
(720) 732-7584
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DEN.00202964
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/20/2016
Last updated
08/11/2022
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