Tetiana Bass, DMD Valid NPI

Individual provider · Dentist · Brooklyn, NY

NPI

1780247874

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

062251 (NY)

Sex

Female

Sole proprietor

No

Enumerated

2019-04-15

Last updated

2022-11-08