Healthcare Provider Details

I. General information

NPI: 1841990918
Provider Name (Legal Business Name): JAFARINEJAD & SEIFI DMD INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2023
Last Update Date: 03/07/2023
Certification Date: 03/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8835 N CEDAR AVE
FRESNO CA
93720-1832
US

IV. Provider business mailing address

1423 E CARLYLE WAY
FRESNO CA
93730-3579
US

V. Phone/Fax

Practice location:
  • Phone: 559-319-0505
  • Fax: 559-319-0533
Mailing address:
  • Phone: 949-735-4480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: SANAZ SEIFI
Title or Position: VICE PRESIDENT
Credential: DDS
Phone: 949-735-4480