BASHA DENTAL GROUP PC
Dentist at Telegraph Rd, Dearborn, MI

License number
Michigan 19207
Category
Dentist
Type
Dentist
Owner
Name: SAMAR BASHA
Title: DDS, OWNER
Phone: (586) 997-9999
Address
Address
1756 N Telegraph Rd, Dearborn, MI 48128
National Provider ID: 1013289925
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BASHA DENTAL GROUP PC

Dearborn, MI

Status:
Inactive
Industry:
Dentist's Office, Offices and Clinics of Dentists
Doing business as:
Basha Dental Group
Registration:
Dec 5, 2011
Addresses:
1756 Telegraph, Dearborn, MI 48128 (Physical)
Michigan (Mailing)
State ID:
04482F
Business type:
Domestic Professional Service Corporation
Expiration:
7-15-2014
Family And General Dentistry, Owner, Principal:
Samar Basha (Family And General Dentistry, Owner, Principal)
Agent:
Samar Koujan Basha

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