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Individual
DR. TAJUL ISLAM
Active
Individual
DR. TAJUL ISLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
050581
NY
1223G0001X
General Practice Dentistry
080581
NY
1223G0001X
General Practice Dentistry
Primary
DS038535
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02392501
—
NY
05
—
102593018
—
PA
01
—
9179252
DORAL DENTAL IPA OF NY
NY
Enumeration date
03/03/2007
Last updated
01/27/2014
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