Jose Agapito Tiu Fajardo JR. DMD

NPI 1699957696 - Dentist - 1223G0001X

NPI Details
NPI 1699957696
Gender Male
Enumeration Date 11/30/2007
Last Updated 12/20/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
10920 VALLEY BLVD
EL MONTE CA, 91731-2515, US
Phone (626) 582-8818
Fax
Business Location
10920 VALLEY BLVD
EL MONTE CA, 91731-2515, US
Phone (626) 582-8818
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 56587
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According to our database, Dr. Jose Agapito Tiu Fajardo JR. DMD NPI is 1699957696, taxonomy code is 1223G0001X and license number is 56587, license state is located at California. Jose Agapito Tiu Fajardo JR. DMD physically located at 10920 Valley Blvd, El Monte CA, 91731-2515. NPI Number Jose Agapito Tiu Fajardo JR. DMD has the Individual type.

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1699957696 NPI number is provided on an as is basis without warranty of any kind. 1699957696 is maintained by the National Plan & Provider Enumeration System. The contents of Jose Agapito Tiu Fajardo JR. DMD are for informational purposes only.