Healthcare Provider Details

I. General information

NPI: 1881199057
Provider Name (Legal Business Name): SALEEM & ALFROUKH DENTAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2018
Last Update Date: 02/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 N DEL MAR AVE
FRESNO CA
93728-1958
US

IV. Provider business mailing address

1215 N DEL MAR AVE
FRESNO CA
93728-1958
US

V. Phone/Fax

Practice location:
  • Phone: 559-233-5625
  • Fax: 559-374-5450
Mailing address:
  • Phone: 559-233-5625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MUHAMMED SALEEM
Title or Position: DDS
Credential: GENERAL
Phone: 646-387-2465