Organization · Type 2 NPI

Rehan Bashar DDS PLLC

Dental Clinic/Center · Bonney Lake, WA

NPI number 1801554084 Active

Practice location

10004 204th Ave E Ste 2500
Bonney Lake, WA 98391-6539

Fax (253) 447-8580

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

Another provider at this address

Syed Rehan Bashar, DDSDentist Bonney Lake, WA NPI 1952317372

Other dental clinic/center providers in Bonney Lake

Bonney Lake Dental LLCDental Clinic/Center Bonney Lake, WA NPI 1073088423

See all in Bonney Lake →

NPI record

NPI: 1801554084
Entity type: Organization (Type 2)
Issued: Dec 3, 2021
Last updated: Dec 25, 2021
Status: Active

Other names

<unavail>
Crescent Dental Bonney Lake · doing business as
Crescent Dental Bonney Lake · doing business as

Authorized official

Dr. Syed Rehan Bashar, DDS
Owner/sole Proprietor
(909) 556-3146

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1801554084

Rehan Bashar DDS PLLC's National Provider Identifier is 1801554084, issued on Dec 3, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Bonney Lake, WA. The record was last updated on Dec 25, 2021.