Individual
BASMA ESSAWY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030
(860) 679-3749
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030
(469) 238-9595
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DL14174
MA
1223G0001X
General Practice Dentistry
Primary
13278
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2017
Last updated
01/09/2024
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