Dafalla, Shaza Basbar

Dafalla, Shaza Basbar is an individual health care provider with primary practice located at 3934 Dutchmans Ln , Louisville KY 40207-4702. She recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Dafalla, Shaza Basbar can be contacted via phone (502) 897-0625.

Contact Information

Primary practice address
3934 Dutchmans Ln Louisville KY 40207-4702
Phone: (502) 897-0625
Fax: (502) 618-4514
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 10659 Kentucky
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Pediatric Dentistry 1223P0221X 1178 Kentucky

Profile Details

NPI number 1326526211
LBN Legal business name Dafalla, Shaza Basbar
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2018
Last updated Jul 9th, 2023 - about 3 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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