Organization
DR. TAJUL ISLAM DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAJUL ISLAM DDS (PRESIDENT)
(718) 974-4775
Entity
Organization
Contact information
Practice address
300 COMMUNITY DR, SUITE C-2, TOBYHANNA, PA 18466-8978
(718) 974-4775
Mailing address
300 COMMUNITY DR, SUITE C-2, TOBYHANNA, PA 18466-8978
(718) 974-4775
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS038535
PA
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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