Provider Demographics
NPI:1346993466
Name:BASHEER, MAY AUNI (DDS)
Entity Type:Individual
Prefix:
First Name:MAY
Middle Name:AUNI
Last Name:BASHEER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1266 CLARENDON ST
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92021-4918
Mailing Address - Country:US
Mailing Address - Phone:619-504-7663
Mailing Address - Fax:
Practice Address - Street 1:583 N 2ND ST
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-6449
Practice Address - Country:US
Practice Address - Phone:619-212-8010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-29
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA107179122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist