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 |