Individual
MAHBUBA RAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10590 ENDURING FREEDOM DR, FORT DRUM, NY 13602-5503
(315) 772-5576
(908) 754-6663
Mailing address
10590 ENDURING FREEDOM DR, FORT DRUM, NY 13602-5503
(315) 772-5576
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19173
NJ
Other
Enumeration date
10/23/2005
Last updated
02/24/2026
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