Basha Dental Group PC

NPI #1013289925 in Dearborn, Michigan

Provider Information

NPI Number: 1013289925
Entity Type: Organization
Organization Name: Basha Dental Group PC
Primary Specialty: Dentist
Enumeration Date: Feb 8, 2012
Last Updated: Feb 8, 2012

Practice Location

Address: 1756 N TELEGRAPH RD
City: Dearborn
State: Michigan
ZIP Code: 48128-1271
Phone: (586) 997-9999

Authorized Official

Name: SAMAR BASHA
Title: DDS, OWNER
Phone: (586) 997-9999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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