Nicole Ann Bashar, RDH

NPI #1982979258 in Willimantic, Connecticut

Provider Information

NPI Number: 1982979258
Entity Type: Individual
Name: Nicole Ann Bashar, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Mar 20, 2012
Last Updated: May 8, 2015

Practice Location

Address: 40 MANSFIELD AVE
City: Willimantic
State: Connecticut
ZIP Code: 06226-2018
Phone: (860) 750-7471

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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