Provider Demographics
NPI:1982061743
Name:SAYEEDI, SYED ZAFAR UL HAQUE (DDS)
Entity Type:Individual
Prefix:
First Name:SYED
Middle Name:ZAFAR UL HAQUE
Last Name:SAYEEDI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8532 168TH PL
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-2638
Mailing Address - Country:US
Mailing Address - Phone:347-263-6509
Mailing Address - Fax:
Practice Address - Street 1:17615 LAKEWOOD BLVD
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-6409
Practice Address - Country:US
Practice Address - Phone:562-408-1447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-25
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA65356122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist