Organization
MOHAMMED SHAFAYETUL ISLAM DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED SHAFAYETUL ISLAM DDS (PRESIDENT)
(703) 945-5673
Entity
Organization
Contact information
Practice address
6167 N FRESNO ST STE 103, FRESNO, CA 93710-8610
(703) 945-5673
(559) 981-5375
Mailing address
6167 N FRESNO ST STE 103, FRESNO, CA 93710-8610
(703) 945-5673
(559) 981-5375
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
08/08/2021
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