| NPI | 1427480979 |
|---|---|
| Other Name | KARLA A BASA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 103457) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 058428) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2021-12-08 |