Individual
DR. BASHAR M RAJAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
920 MAIN ST, HACKENSACK, NJ 07601-5017
(201) 343-8297
Mailing address
920 MAIN ST, HACKENSACK, NJ 07601-5017
(201) 343-8297
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401410808
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DI02416600
NJ
Other
Enumeration date
07/13/2007
Last updated
07/28/2009
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