Individual
DR. MOHAMMAD REAZUL HAQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
18205 HENLEY RD, JAMAICA, NY 11432-2308
(718) 526-3020
Mailing address
18205 HENLEY RD, JAMAICA, NY 11432-2308
(718) 526-3020
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50055217
NY
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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