# CLARA P FAJARDO DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clara P Fajardo DDS PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336318526
- **Authorized official:** DR. CLARA PATRICIA FAJARDO DDS (DENTIST)
- **Authorized official phone:** (623) 815-0513

## Contact information

- **Practice address:** 18818 N 99TH AVE, SUN CITY, AZ 85373-1431
- **Practice address phone:** (623) 815-0512
- **Mailing address:** 18818 N 99TH AVE, SUN CITY, AZ 85373-1431
- **Mailing address phone:** (623) 815-0512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 07640102J | AZ | Yes |

## Other

- **Enumeration date:** 02/21/2008
- **Last updated:** 02/21/2008