Basora, Selma

Basora, Selma is an individual health care provider with primary practice located at Hc 1 Box 25708 , San German PR 00683-9806. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Basora, Selma can be contacted via phone (787) 892-0585.

Contact Information

Primary practice address
Hc 1 Box 25708 San German PR 00683-9806
Phone: (787) 892-0585
Fax: (787) 892-0585
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 2510 Puerto Rico

Profile Details

NPI number 1205804119
LBN Legal business name Basora, Selma
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205804119 NPPES
Pennsylvania Other 2510 STATE LISENCE

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