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 |
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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 |
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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 |
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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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