Organization
REHAN BASHAR DDS PLLC
Active
Other names
Crescent Dental Bonney Lake
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYED REHAN BASHAR DDS (OWNER/SOLE PROPRIETOR)
(909) 556-3146
Entity
Organization
Contact information
Practice address
10004 204TH AVE E STE 2500, BONNEY LAKE, WA 98391-6539
(253) 447-8344
(253) 447-8580
Mailing address
10004 204TH AVE E STE 2500, BONNEY LAKE, WA 98391-6539
(253) 447-8344
(253) 447-8580
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/03/2021
Last updated
12/25/2021
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