Individual
DEJI V. FASHEMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MPH
Contact information
Practice address
7777 FOREST LN, SUITE # C-770, DALLAS, TX 75230-2505
(972) 566-3100
(972) 566-3200
Mailing address
7777 FOREST LN, SUITE # C-770, DALLAS, TX 75230-2505
(972) 566-3100
(972) 566-3200
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
21639
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171860301
—
TX
Enumeration date
05/18/2006
Last updated
11/10/2009
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