Individual
BASHAR A SHEHADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
121 SANDY BOTTOM RD, COVENTRY, RI 02816-5865
(401) 822-3352
Mailing address
10 AUDUBON LN, HOPE, RI 02831-1627
(401) 573-5503
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN03212
RI
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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