| Mohammed Shafayetul Islam Dds Inc | |
|
6167 N Fresno St Ste 103 Fresno CA 93710-8610 | |
| (703) 945-5673 | |
| (559) 981-5375 |
| Full Name | Mohammed Shafayetul Islam Dds Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6167 N Fresno St Ste 103, Fresno, California |
| Authorized Official Name and Position | Mohammed Shafayetul Islam (PRESIDENT) |
| Authorized Official Contact | 7039455673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammed Shafayetul Islam Dds Inc 6167 N Fresno St Ste 103 Fresno CA 93710-8610 Ph: (703) 945-5673 | Mohammed Shafayetul Islam Dds Inc 6167 N Fresno St Ste 103 Fresno CA 93710-8610 Ph: (703) 945-5673 |
| NPI Number | 1194393595 |
|---|---|
| Provider Enumeration Date | 06/14/2021 |
| Last Update Date | 08/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194393595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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