Basha Dental Group Pc | |
1756 N Telegraph Rd Dearborn MI 48128-1271 | |
(586) 997-9999 | |
Not Available |
Full Name | Basha Dental Group Pc |
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Speciality | Dentist |
Location | 1756 N Telegraph Rd, Dearborn, Michigan |
Authorized Official Name and Position | Samar Basha (DDS, OWNER) |
Authorized Official Contact | 5869979999 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Basha Dental Group Pc 1756 N Telegraph Rd Dearborn MI 48128-1271 Ph: (586) 997-9999 | Basha Dental Group Pc 1756 N Telegraph Rd Dearborn MI 48128-1271 Ph: (586) 997-9999 |
NPI Number | 1013289925 |
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Provider Enumeration Date | 02/08/2012 |
Last Update Date | 02/08/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013289925 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 19207 (Michigan) | Primary |
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