Basel Otoom
Basel Otoom is a Dentist in West Tisbury, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2022.
- Licensed in
- MA
- In the registry since
- 2022
Practice location Address checks out
20 Indian Hill RdWest Tisbury, MA 02575
Phone: (508) 338-7170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence DL15170 (MA) |
|---|
Record details
| NPI number | 1437893245 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 27, 2022 |
| Last updated in NPPES | April 27, 2022 |
| Certification date | April 12, 2022 |
| Mailing address | 77 Hospital Ave, North Adams, MA 01247-2550 |