Individual
DR. SYED REHAN BASHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
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
122300000X
Dentist
Primary
DE00009509
WA
Other
Enumeration date
07/31/2006
Last updated
12/25/2021
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