Organization
CLARA P FAJARDO DDS PC
Active
Other names
Clara P Fajardo DDS PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARA PATRICIA FAJARDO DDS (DENTIST)
(623) 815-0513
Entity
Organization
Contact information
Practice address
18818 N 99TH AVE, SUN CITY, AZ 85373-1431
(623) 815-0512
Mailing address
18818 N 99TH AVE, SUN CITY, AZ 85373-1431
(623) 815-0512
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
07640102J
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386858702
NPI
AZ
Enumeration date
02/21/2008
Last updated
02/21/2008
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