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Organization
HENRY D. FAJARDO, D.M.D., INC.
Active
Organization
HENRY D. FAJARDO, D.M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY DOLOSO FAJARDO DMD (PRESIDENT)
(559) 224-5988
Entity
Organization
Contact information
Practice address
2100 E CLINTON AVE, FRESNO, CA 93703-2134
(559) 224-5988
(559) 224-5933
Mailing address
2100 E. CLINTON AVE., FRESNO, CA 93703-2134
(559) 224-5988
(559) 224-5933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
45107
CA
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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