| J.a.fajardo Dds Inc. | |
|
10920 Valley Blvd El Monte CA 91731-2515 | |
| (626) 582-8818 | |
| (888) 371-5020 |
| Full Name | J.a.fajardo Dds Inc. |
|---|---|
| Speciality | Dentist |
| Location | 10920 Valley Blvd, El Monte, California |
| Authorized Official Name and Position | Jose Agapito Tiu Fajardo (PRESIDENT/DENTIST) |
| Authorized Official Contact | 6265828818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J.a.fajardo Dds Inc. 10920 Valley Blvd El Monte CA 91731-2515 Ph: (626) 582-8818 | J.a.fajardo Dds Inc. 10920 Valley Blvd El Monte CA 91731-2515 Ph: (626) 582-8818 |
| NPI Number | 1689982050 |
|---|---|
| Provider Enumeration Date | 09/20/2010 |
| Last Update Date | 09/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689982050 | NPI | - | NPPES |
| 1699957696 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 56587 (California) | Primary |
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