Dr. Firdose Basha Kamal Basha BDS
Dentist in Roxbury, MA(View on Map)
Full Name
Dr. Firdose Basha Kamal Basha BDS
NPI Number
1407344914
NPI Type
Individual Provider
Gender
Male
Enumeration Date
04/30/2018
Specialties
(Taxonomies)Licenses
State
Massachusetts
License Number
DL14732
Contact
Information
Purpose
Mailing
Location
Address
246 ELM ST
45 DIMOCK STREET
City
Mansfield
Roxbury
State
MA
MA
Postal Code
02048-2619
02119
Country
US
US
Telephone Number
(857) 526-1090
(617) 442-8800
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/30/2021