Male or Other

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)

Name

Code

122300000X

Primary Taxonomy

Yes

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

Provider Address

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