| Henry D. Fajardo, D.m.d., Inc. | |
|
2100 E Clinton Ave Fresno CA 93703-2134 | |
| (559) 224-5988 | |
| (559) 224-5933 |
| Full Name | Henry D. Fajardo, D.m.d., Inc. |
|---|---|
| Speciality | Dentist |
| Location | 2100 E Clinton Ave, Fresno, California |
| Authorized Official Name and Position | Henry Doloso Fajardo (PRESIDENT) |
| Authorized Official Contact | 5592245988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Henry D. Fajardo, D.m.d., Inc. 2100 E. Clinton Ave. Fresno CA 93703-2134 Ph: (559) 224-5988 | Henry D. Fajardo, D.m.d., Inc. 2100 E Clinton Ave Fresno CA 93703-2134 Ph: (559) 224-5988 |
| NPI Number | 1487065454 |
|---|---|
| Provider Enumeration Date | 05/13/2014 |
| Last Update Date | 05/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487065454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 45107 (California) | Primary |
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