Individual
DR. JOSE FAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
5720 BUFORD HWY, SUITE 101, NORCROSS, GA 30071-2577
(770) 368-1818
Mailing address
5720 BUFORD HWY, SUITE 101, NORCROSS, GA 30071-2577
(770) 368-1818
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
011347
GA
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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