| Jose L. Fajardo, D.m.d,p.c. | |
|
5720 Buford Hwy Suite 101 Norcross GA 30071-2577 | |
| (770) 368-1818 | |
| (770) 368-1618 |
| Full Name | Jose L. Fajardo, D.m.d,p.c. |
|---|---|
| Speciality | Dentist |
| Location | 5720 Buford Hwy, Norcross, Georgia |
| Authorized Official Name and Position | Jose Luis Fajardo (DENTIST) |
| Authorized Official Contact | 7703681818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose L. Fajardo, D.m.d,p.c. 5720 Buford Hwy Suite 101 Norcross GA 30071-2577 Ph: (770) 368-1818 | Jose L. Fajardo, D.m.d,p.c. 5720 Buford Hwy Suite 101 Norcross GA 30071-2577 Ph: (770) 368-1818 |
| NPI Number | 1609082122 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 10/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609082122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 011347 (Georgia) | Primary |
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