Wilson J. Basquiat, RDH
Dental Hygienist in Miami, FL. Individual provider (NPI-1).
NPI number1235655945
StatusActive
Last updated in NPPESSep 10, 2024
Details
- NPI
- 1235655945
- Entity type
- Individual (NPI-1)
- Name
- Wilson J. Basquiat
- Credential
- RDH
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2017
- Certification date
- Sep 10, 2024
- Last updated
- Sep 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | DH20849 | FL | Yes |
Practice location
5607 Nw 27th Ave Ste 2Miami, FL 33142-2826
Phone 305-805-1700 · Fax 305-805-1715
Mailing address
5607 Nw 27th Ave Ste 1Miami, FL 33142-2826
Phone 305-805-1700 · Fax 305-805-1715
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