Provider Demographics
NPI:1881199057
Name:SALEEM & ALFROUKH DENTAL GROUP INC
Entity Type:Organization
Organization Name:SALEEM & ALFROUKH DENTAL GROUP INC
Other - Org Name:TOWER DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DDS
Authorized Official - Prefix:DR
Authorized Official - First Name:MUHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:SALEEM
Authorized Official - Suffix:
Authorized Official - Credentials:GENERAL
Authorized Official - Phone:646-387-2465
Mailing Address - Street 1:1215 N DEL MAR AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93728-1958
Mailing Address - Country:US
Mailing Address - Phone:559-233-5625
Mailing Address - Fax:
Practice Address - Street 1:1215 N DEL MAR AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93728-1958
Practice Address - Country:US
Practice Address - Phone:559-233-5625
Practice Address - Fax:559-374-5450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-28
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental