| Dr. Tajul Islam Dds Pc | |
|
1236 Fulton St Brooklyn NY 11216-2093 | |
| (718) 622-1868 | |
| Not Available |
| Full Name | Dr. Tajul Islam Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1236 Fulton St, Brooklyn, New York |
| Authorized Official Name and Position | Tajul Islam (PRESIDENT) |
| Authorized Official Contact | 7186221868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Tajul Islam Dds Pc 1236 Fulton St Brooklyn NY 11216-2093 Ph: (718) 622-1868 | Dr. Tajul Islam Dds Pc 1236 Fulton St Brooklyn NY 11216-2093 Ph: (718) 622-1868 |
| NPI Number | 1558569582 |
|---|---|
| Provider Enumeration Date | 07/11/2007 |
| Last Update Date | 07/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558569582 | NPI | - | NPPES |
| 9179252 | Other | DORAL DENTAL IPA OF NEW Y | |
| 02392501 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 050581 (New York) | Primary |
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