Provider Demographics
NPI:1083267512
Name:JAFARINEJAD & SEIFI DENTAL GROUP INC
Entity Type:Organization
Organization Name:JAFARINEJAD & SEIFI DENTAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MEHDI
Authorized Official - Middle Name:
Authorized Official - Last Name:JAFARINEJAD
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:949-735-4447
Mailing Address - Street 1:1265 E SHAW AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-7803
Mailing Address - Country:US
Mailing Address - Phone:559-224-0103
Mailing Address - Fax:559-222-0926
Practice Address - Street 1:1265 E SHAW AVE STE 100
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-7803
Practice Address - Country:US
Practice Address - Phone:559-224-0103
Practice Address - Fax:559-222-0926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-23
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental