Individual
MOHAMMED IQBAL BHUIYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
100 COMMUNITY DR, SUITE 201, TOBYHANNA, PA 18466-8985
(570) 839-6969
(570) 839-8788
Mailing address
100 COMMUNITY DR, SUITE 201, TOBYHANNA, PA 18466-8985
(570) 839-6969
(570) 839-8788
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
000028
NY
122300000X
Dentist
Primary
DS036415
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02940105
—
NY
Enumeration date
12/12/2006
Last updated
03/09/2009
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