Individual
DR. AMMAR BASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
255 PARK AVE STE 405, WORCESTER, MA 01609-1989
(508) 757-3466
Mailing address
255 PARK AVE STE 405, WORCESTER, MA 01609-1989
(508) 757-5346
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21135
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0209295
—
MA
Enumeration date
11/10/2006
Last updated
10/26/2016
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