| NPI | 1801554084 |
|---|---|
| Doing Business As | CRESCENT DENTAL BONNEY LAKE |
| Entity Type | Organization |
| Authorized Contact | SYED REHAN BASHAR Owner/Sole Proprietor 909-556-3146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2021-12-25 |