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Selma Basora, DMD
Pediatric Dentist in San German, N/A
NPI 1205804119

Selma Basora is a Pediatric Dentist based in San German, and is specialized in Pediatric Dentistry. Selma Basora practices in San German, and has the professional credentials of DMD. The NPI Number for Selma Basora is 1205804119 and holds a License No. 2510 (N/A).

The current practice location address for Selma Basora is Hc 1 Box 25708, San German, and can be reached out via phone at 787-892-0585 and via fax at 787-892-0585.

Location: Hc 1 Box 25708, San German, , 00683-9806
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205804119
Provider Name
Selma Basora
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
Hc 1 Box 25708, San German, , 00683-9806
Phone Number
787-892-0585
Fax Number
787-892-0585
Provider Enumeration Date
03/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2510 01 PA STATE LISENCE
institution
Provider Business Practice Location Address Details
Address
Hc 1 Box 25708
City
San German
State
Zip
00683-9806
Phone Number
787-892-0585
Fax Number
787-892-0585
person
Provider Business Mailing Address Details
Address
Hc 1 Box 25708
City
San German
State
Zip
00683-9806
Phone Number
787-892-0585
Fax Number
787-892-0585
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
2510 ()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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