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Organization
REHAN BASHAR DDS PLLC
Active
Organization
REHAN BASHAR DDS PLLC
Active
Other names
Crescent Dental Bonney Lake
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYED REHAN BASHAR DDS (OWNER/SOLE PROPRIETOR)
(909) 556-3146
Entity
Organization
Contact information
Practice address
10004 204TH AVE E STE 2500, BONNEY LAKE, WA 98391-6539
(253) 447-8344
(253) 447-8580
Mailing address
10004 204TH AVE E STE 2500, BONNEY LAKE, WA 98391-6539
(253) 447-8344
(253) 447-8580
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/03/2021
Last updated
12/25/2021
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