LAILA BASHA
Individual Provider (NPI-1)
Active
Dentist, General Practice
Provider Information
- NPI Number
1467141994- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 211 N LEAVITT RD, AMHERST, OH, 440011124
- Phone
- (440) 984-3840
Specialties & Taxonomies
Dentist, General Practice
License: MI #2901601778
Student in an Organized Health Care Education/Training Program
Dentist, General Practice
Primary License: OH #30.027809