Henry D. Fajardo, D.m.d., Inc.

NPI 1487065454 - Dentist - 122300000X

NPI Details
NPI 1487065454
Enumeration Date 05/13/2014
Last Updated 05/13/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name HENRY DOLOSO HENRY
Position PRESIDENT
Phone (559) 224-5988
Fax (559) 224-5933
Practice Location
2100 E CLINTON AVE
FRESNO CA, 93703-2134, US
Phone (559) 224-5988
Fax (559) 224-5933
Business Location
2100 E. CLINTON AVE.
FRESNO CA, 93703-2134, US
Phone (559) 224-5988
Fax (559) 224-5933
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 45107
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According to our database, Henry D. Fajardo, D.m.d., Inc. NPI is 1487065454, taxonomy code is 122300000X and license number is 45107, license state is located at California. Henry D. Fajardo, D.m.d., Inc. physically located at 2100 E Clinton Ave, Fresno CA, 93703-2134. NPI Number 1033115704 has the healthcare provider type.

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1487065454 NPI number is provided on an as is basis without warranty of any kind. 1487065454 is maintained by the National Plan & Provider Enumeration System. The contents of Henry D. Fajardo, D.m.d., Inc. are for informational purposes only.