Organization

Basha Dental Group Pc

Dentist in Dearborn, MI(View on Map)

Legal Business Name

Basha Dental Group Pc

NPI Number

1013289925

NPI Type

Organization

Enumeration Date

02/08/2012

Specialties

(Taxonomies)

Name

Code

122300000X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

19207

Contact
Information

Purpose

Mailing
Location

Address

1756 N TELEGRAPH RD
1756 N TELEGRAPH RD

City

Dearborn
Dearborn

State

MI
MI

Postal Code

48128-1271
48128-1271

Country

US
US

Telephone Number

(586) 997-9999
(586) 997-9999

Authorized Official

Name

Samar Basha

Title or Position

DDS, OWNER

Telephone Number

(586) 997-9999

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/08/2012

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